Laparoscopic versus open appendectomy in adults with complicated appendicitis: systematic review and meta-analysis.

Abstract:

BACKGROUND:The goal of the present study was to critically review and identify the strength of available evidence in the literature on the use of laparoscopic appendectomy (LA) in complicated appendicitis (CA). METHODS:The Cochrane Library and Controlled Trials Registry, MEDLINE (Ovid), PubMed, Web of knowledge, and SCOPUS databases were electronically searched, using the keywords "appendectomy," "laparoscopy," "appendicitis." "complicated appendicitis." "gangrenous appendicitis," "perforated appendicitis," with English language as a limit. Backward chaining was also employed. The NHS Public Health Resource Unit Critical Appraisal Skills Programme Tools were used for critical appraisal. RESULTS:Twelve retrospective case-control studies were included in the review. Overall methodological quality was moderate to poor, with heterogeneity, absence of randomization and blinding, and presence of important methodological flaws. Meta-analysis showed that LA in CA has reduced surgical site infection (SSI) rates compared to open appendectomy (OA), odds ratio (OR) 0.23, 95% confidence intervals (CI): 0.14-0.37 (level 3a evidence), and no difference with regard to intra-abdominal abscess (IAA) complication rates OR: 1.02, 95% CI 0.56-1.86 (level 3a evidence). CONCLUSIONS:When compared to OA, laparoscopic appendectomy is advantageous in CA with regard to SSIs, with no significant additional risk of IAA (level 3a evidence).

journal_name

World J Surg

journal_title

World journal of surgery

authors

Markides G,Subar D,Riyad K

doi

10.1007/s00268-010-0669-z

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

2026-40

issue

9

eissn

0364-2313

issn

1432-2323

journal_volume

34

pub_type

杂志文章,meta分析,评审
  • Leukocyte activation by isolated hyperthermic liver and limb perfusion due to malignancy.

    abstract::Fourteen patients with liver tumor malignancy and sixteen patients with malignant melanoma localized to one limb were studied regarding leukocyte activation with the release of polymorphonuclear neutrophilic (PMN) elastase and of neopterin and formation of cytokines (TNF-alpha and IL-6) during the surgical treatment. ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/BF00299787

    authors: Arnestad JP,Bengtsson A,Bengtson JP,Hafström L,Redl H,Schlag G

    更新日期:1995-11-01 00:00:00

  • An analysis of risk factors associated with failure of below knee amputations.

    abstract:BACKGROUND:Below knee amputation (BKA) is often required in patients with critical limb ischemia. When such a procedure fails, an above knee revision (AKA) is required. This can cause further complications in this group of patients, who already have a high incidence of medical co-morbidities. METHODS:Case records of 4...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-005-0737-y

    authors: Yip VS,Teo NB,Johnstone R,Robertson AG,Robertson JH,Welch GH,Kettlewell S

    更新日期:2006-06-01 00:00:00

  • Prospective Risk Factor Analysis for the Development of Post-operative Urinary Retention Following Ambulatory General Surgery.

    abstract:AIMS:Post-operative urinary retention (POUR) is a common cause of unplanned admission following day-case surgery and has negative effects on both patient and surgical institution. We aimed to prospectively evaluate potential risk factors for the development of POUR following day-case general surgical procedures. METHO...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-018-4697-4

    authors: Scott AJ,Mason SE,Langdon AJ,Patel B,Mayer E,Moorthy K,Purkayastha S

    更新日期:2018-12-01 00:00:00

  • "Modern Endovascular Therapy".

    abstract:INTRODUCTION:The past 25 years have been witness to a revolution in how vascular care is delivered. The majority of arterial and venous interventions have converted from open surgery to minimally invasive percutaneous endovascular procedures. METHODS:This surgical innovations symposium article reviews current endovasc...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-020-05875-7

    authors: Blecha M,Gahtan V

    更新日期:2020-11-22 00:00:00

  • Hypoxia Increases Thyroid Cancer Stem Cell-Enriched Side Population.

    abstract:INTRODUCTION:Hypoxic stress is a feature of rapidly growing thyroid tumours. Cancer progression is thought to be driven by a small population of tumour cells possessing stem cell properties. Hypoxia-inducible factors (HIFs) are important mediators of hypoxia. Both HIF-1alpha and HIF-2alpha have been reported to be expr...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-017-4331-x

    authors: Mahkamova K,Latar N,Aspinall S,Meeson A

    更新日期:2018-02-01 00:00:00

  • CD4 Count is Still a Valid Indicator of Outcome in HIV-Infected Patients Undergoing Major Abdominal Surgery in the Era of Highly Active Antiretroviral Therapy.

    abstract:BACKGROUND:Patients with HIV/AIDS on antiretroviral therapy (ART) live longer and now require surgery for indications similar to those described for the general population. They have been previously reported to carry higher mortality and complication rates, especially septic complications. The aim of this study was to ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-015-2994-8

    authors: Chichom-Mefire A,Azabji-Kenfack M,Atashili J

    更新日期:2015-07-01 00:00:00

  • Impact of Biliary Drainage on Multidetector-Row Computed Tomography on R0 Resection of Perihilar Cholangiocarcinoma.

    abstract:BACKGROUND:Although multidetector-row computed tomography (MDCT) before biliary drainage is useful for the assessment of the resectability of perihilar cholangiocarcinoma (PHC), the impact of biliary drainage on MDCT images before surgical resection for PHC has been poorly studied, and its possible consequences for R0 ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-018-4654-2

    authors: Hosokawa I,Shimizu H,Yoshitomi H,Furukawa K,Takayashiki T,Miyazaki M,Ohtsuka M

    更新日期:2018-11-01 00:00:00

  • Transabdominal extensive esophagogastric devascularization with gastroesophageal stapling for management of noncirrhotic portal hypertension: long-term results.

    abstract::Outside Japan portosystemic shunts have been favored as the surgical procedure of choice for the management of portal hypertension of noncirrhotic etiology. Devascularization procedures have resulted in high rebleed rates probably owing to a limited extent of devascularization. We performed this study to assess the ef...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002689900641

    authors: Mathur SK,Shah SR,Nagral SS,Soonawala ZF

    更新日期:1999-11-01 00:00:00

  • Difference in patterns of Met expression in papillary thyroid carcinomas and nonneoplastic thyroid tissue.

    abstract::Met protein is a tyrosine kinase receptor for hepatocyte growth factor (HGF). c-Met has morphogenic, mitogenic, and motogenic properties and is overexpressed in many solid tumors. We studied c-met mRNA and protein expression in papillary thyroid carcinomas and nonneoplastic thyroid tissue. The c-met mRNA was detected ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002680020167

    authors: Fluge Ø,Haugen DR,Lillehaug JR,Varhaug JE

    更新日期:2001-05-01 00:00:00

  • Operative results in 143 patients with hepatocellular carcinoma.

    abstract::A total of 143 patients who underwent hepatic resection for hepatocellular carcinoma in our department were reviewed. The review was conducted for two periods: 1970-1982 (early period) and 1983-1990 (late period), that is, the periods before and after introduction of the hepatic surgical technique involving the use of...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/BF01659138

    authors: Segawa T,Tsuchiya R,Furui J,Izawa K,Tsunoda T,Kanematsu T

    更新日期:1993-09-01 00:00:00

  • Current concepts in inguinal hernia in infants and children.

    abstract::Trends are changing in the management of infants and children with indirect inguinal hernias. Advances in neonatal intensive care have resulted in the survival of many small premature infants who have a high incidence of inguinal hernia. The rate of incarceration, strangulation, and gonadal infarction in these babies ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/BF01658863

    authors: Grosfeld JL

    更新日期:1989-09-01 00:00:00

  • Postoperative chemotherapy for resected non-small-cell lung cancer.

    abstract::Surgical resection is the treatment of choice for patients with stage I and stage II non-small-cell lung cancer (NSCLC--squamous cell, adenocarcinoma, and large-cell carcinoma). Distant recurrence is an important cause of death after complete surgical resection, occurring in 30-60% of patients. Postoperative adjuvant ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/BF01659083

    authors: Crump M

    更新日期:1993-11-01 00:00:00

  • Increased platelet counts after transthoracic en bloc resection for esophageal cancer is associated with significantly improved survival.

    abstract:BACKGROUND:We analyzed perioperative platelet counts as a potential clinical marker for survival after transthoracic en bloc resection for esophageal cancer. Recent data described preoperative thrombocytosis in malignancies to be associated with poor prognosis. METHODS:A retrospective analysis from a prospective datab...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-010-0707-x

    authors: Ling FC,Vallböhmer D,Hoelscher AH,Schmidt D,Bollschweiler E,Schneider PM

    更新日期:2010-11-01 00:00:00

  • Cost-effectiveness of a district trauma hospital in Battambang, Cambodia.

    abstract:BACKGROUND:The Emergency Hospital in Battambang, Cambodia, is essentially a surgical center for victims of injuries. METHODS:Using methods previously described, operating costs were calculated, and effectiveness of treatment was estimated for 957 patients undergoing 895 surgical procedures over a 3 month period (Octob...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-008-9708-4

    authors: Gosselin RA,Heitto M

    更新日期:2008-11-01 00:00:00

  • Liver Resection Versus Embolization for Recurrent Hepatocellular Carcinoma.

    abstract:BACKGROUND:Despite curative resection, hepatocellular carcinoma (HCC) has a high probability of recurrence. We validated the potential role of liver resection (LR) for recurrent HCC. METHODS:Patients with intrahepatic recurrence with up to three lesions were included. We compared survival times of patients undergoing ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-019-05225-2

    authors: Midorikawa Y,Takayama T,Moriguchi M,Yagi R,Yamagishi S,Nakayama H,Aramaki O,Yamazaki S,Tsuji S,Higaki T

    更新日期:2020-01-01 00:00:00

  • Withanolides are potent novel targeted therapeutic agents against adrenocortical carcinomas.

    abstract:BACKGROUND:Adrenocortical carcinoma (ACC) is a rare and aggressive malignancy with poor prognosis, as a majority of patients present with advanced disease. Current adjuvant strategies for metastatic patients include mitotane or other cytotoxic agents and carry a significant morbidity as well as a low (<10 %) 5-year sur...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-014-2532-0

    authors: Subramanian C,Zhang H,Gallagher R,Hammer G,Timmermann B,Cohen M

    更新日期:2014-06-01 00:00:00

  • Impact of EMG Changes in Continuous Vagal Nerve Monitoring in High-Risk Endocrine Neck Surgery.

    abstract:BACKGROUND:Continuous vagal intraoperative neuromonitoring (CIONM) of the recurrent laryngeal nerve (RLN) may reduce the risk of RLN lesions during high-risk endocrine neck surgery such as operation for large goiter potentially requiring transsternal surgery, advanced thyroid cancer, and recurrence. METHODS:Fifty-five...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-015-3368-y

    authors: Brauckhoff K,Vik R,Sandvik L,Heimdal JH,Aas T,Biermann M,Brauckhoff M

    更新日期:2016-03-01 00:00:00

  • Breast cancer in Chinese women younger than age 40: are they different from their older counterparts?

    abstract:BACKGROUND:Breast cancer in young women is uncommon, but when it does occur it has been reported to have aggressive biological characteristics. The incidence of breast cancer peaks at age 40 in Hong Kong Chinese women, earlier than in Caucasians. This study is the first to report the tumor characteristics and managemen...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-008-9589-6

    authors: Kwong A,Cheung P,Chan S,Lau S

    更新日期:2008-12-01 00:00:00

  • Antibiotics Versus Appendicectomy for the Treatment of Uncomplicated Acute Appendicitis: An Updated Meta-Analysis of Randomised Controlled Trials.

    abstract:BACKGROUND:Uncomplicated acute appendicitis has been managed traditionally by early appendicectomy. However, recently, there has been increasing interest in the potential for primary treatment with antibiotics, with studies finding this to be associated with fewer complications than appendicectomy. The aim of this stud...

    journal_title:World journal of surgery

    pub_type: 杂志文章,meta分析

    doi:10.1007/s00268-016-3561-7

    authors: Rollins KE,Varadhan KK,Neal KR,Lobo DN

    更新日期:2016-10-01 00:00:00

  • ECLS in Trauma: Practical Application and a Review of Current Status.

    abstract::Extracorporeal life support has evolved considerably over the past two decades. Once considered as salvage or experimental therapy in adults, extracorporeal membrane oxygenation (ECMO) is evolving into a mainstream treatment for adult critical care. This is especially true in trauma and high-risk surgical patients, wh...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00268-016-3586-y

    authors: Zonies D

    更新日期:2017-05-01 00:00:00

  • The efficacy of intraoperative corticosteroids in recurrent laryngeal nerve palsy after thyroid surgery.

    abstract:BACKGROUND:Recurrent laryngeal nerve palsy (RLNP) is one of the most common complications after thyroidectomy. We aim to evaluate the role of intraoperative corticosteroids in preventing or treating postoperative RLNP. MATERIALS AND METHODS:We conducted a prospective study of 295 patients who underwent either total lo...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-005-0399-9

    authors: Wang LF,Lee KW,Kuo WR,Wu CW,Lu SP,Chiang FY

    更新日期:2006-03-01 00:00:00

  • Vitamin D3 deficiency is associated with late-onset hypocalcemia after minimally invasive parathyroidectomy in a vitamin D borderline area.

    abstract:BACKGROUND:Concurrent vitamin D(3) deficiency is common in primary hyperparathyroidism (pHPT). We aimed to examine the clinicopathologic features and short-term outcomes of vitamin D(3)-deficient patients after minimally invasive parathyroidectomy (MIP). METHODS:Over 2-year period, 80 consecutive MIP patients had preo...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-009-0377-8

    authors: Lang BH,Lo CY

    更新日期:2010-06-01 00:00:00

  • Twenty years of laparoscopic fundoplication for GERD.

    abstract::The first laparoscopic Nissen fundoplication was performed 20 years ago. Surgical management of gastroesophageal reflux disease (GERD) should be offered only to appropriately studied and selected patients, with the ultimate aim of improving the well-being of the individual, the "quality of life." The choice of fundopl...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00268-011-1050-6

    authors: Dallemagne B,Perretta S

    更新日期:2011-07-01 00:00:00

  • Double role of HLA in organ transplantation.

    abstract::Although HLA matching can improve organ graft survival, well matched grafts fail and poorly matched ones survive. Recently evidence has been found that perinatal exposure to noninherited antigens (NIMAs) has a lifelong impact on the immune repertoire of the individual. The state of the art of the influence of NIMAs on...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s002680010132

    authors: van Rood JJ

    更新日期:2000-07-01 00:00:00

  • Acute acalculous cholecystitis complicating trauma: a prospective sonographic study.

    abstract::Acute acalculous cholecystitis (AAC) is a well known complication in severely traumatized patients. Existing data of AAC originate from retrospective analyses and episodic case reports. In a prospective study 45 polytraumatized patients admitted to our intensive care unit from January 1989 to June 1990 were clinically...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/BF02067089

    authors: Imhof M,Raunest J,Ohmann C,Röher HD

    更新日期:1992-11-01 00:00:00

  • Endovascular repair of abdominal aortic aneurysms using the EGS tube and bifurcated graft systems.

    abstract::Left untreated, aneurysmal disease of the abdominal aorta is a highly lethal condition. Standard transabdominal repair of aortic aneurysm, although successful and durable, continues to be plagued by significant morbidity, mortality, and cost. Placement of an endovascular graft through a femoral arteriotomy is a new te...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s002689900101

    authors: Colburn MD,Moore WS

    更新日期:1996-07-01 00:00:00

  • Developing Metrics to Define Progress in Children's Surgery.

    abstract::There is a need for relevant, valid, and practical metrics to better quantify both need and progress in global pediatric surgery and for monitoring systems performance. There are several existing surgical metrics in use, including disability-adjusted life years (DALYs), surgical backlog, effective coverage, cost-effec...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00268-018-4868-3

    authors: Poenaru D,Seyi-Olajide JO

    更新日期:2019-06-01 00:00:00

  • Cholecystectomy and drainage: ultrasonographic and radioisotopic evaluation.

    abstract::Eighty patients undergoing cholecystectomy were either assigned deliberately (n = 30) or randomized (n = 50) to drainage (n = 38) or nondrainage (n = 42). Subhepatic collections were seen on ultrasonography (US) after 48 to 72 hours in 12 of 35 patients with drainage and 24 of 42 patients without drainage (p < 0.05). ...

    journal_title:World journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/BF01655718

    authors: Kapoor VK,Ibrarullah M,Baijal SS,Kulshreshtha A,Mittal BR,Saxena R,Das BK,Kaushik SP

    更新日期:1993-01-01 00:00:00

  • Helicobacter pylori infection: augmentation of telomerase activity in cancer and noncancerous tissues.

    abstract::Telomerase adds hexameric repeats of 5'-TTAGGG-3' to the ends of chromosomal DNA (telomere) and has been implicated in cell immortalization and cellular senescence. The aim of this study was to measure quantitatively the telomerase activity and human telomerase RNA component (hTR) content in gastric cancer and to exam...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002680010246

    authors: Kameshima H,Yagihashi A,Yajima T,Kobayashi D,Denno R,Hirata K,Watanabe N

    更新日期:2000-10-01 00:00:00

  • Socioeconomic inequalities in relative survival of rectal cancer most obvious in stage III.

    abstract:INTRODUCTION:The association between socioeconomic status (SES) and relative survival of rectal cancer is little investigated. We hypothesized that the impact on risk of death by SES would be much smaller when differences in background mortality (comorbidity, lifestyle factors) were taken into account, i.e. in modellin...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-014-2735-4

    authors: Olsson LI,Granstrom F

    更新日期:2014-12-01 00:00:00