Comparison of clinical outcomes of open, laparoscopic and single port appendicectomies.

Abstract:

INTRODUCTION:Appendicectomy is the most common surgical procedure performed in general surgery. This study aimed to compare the outcomes of open appendicectomy (OA), laparoscopic appendicectomy (LA) and single port laparoscopic appendicectomy (SPLA). METHODS:Fifty consecutive patients with suspected acute appendicitis were studied (OA: n=20, LA: n=20, SPLA: n=10). Clinical outcomes were compared between the three groups in terms of operative time, blood loss, postoperative complications, length of hospital stay and cost. RESULTS:Patient demographics were similar among groups (p>0.05). SPLA was characterised by longer operative time (88.1 minutes vs 35.6 minutes in OA and 33.4 minutes in LA) and higher costs (12.84 thousand Chinese yuan [RMB] vs 8.41 thousand RMB in LA and 4.99 thousand RMB in OA). OA was characterised by more blood loss (9.8ml vs 7.5ml in SPLA and 6.8ml in LA), longer hospital stay (7.5 days vs 3.5 days in LA and 3.4 days in SPLA) and lower costs. The total number of complications was higher for OA (n=2) than for LA and SPLA (n=0) although this was not statistically significant. CONCLUSIONS:Where feasible, LA should be undertaken as the initial treatment of choice for most cases of suspected appendicitis.

journal_name

Ann R Coll Surg Engl

authors

Jiang X,Meng HB,Zhou DL,Ding WX,Lu LS

doi

10.1308/003588413X13629960049397

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

468-72

issue

7

eissn

0035-8843

issn

1478-7083

journal_volume

95

pub_type

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