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Conference Paper: A comparative study of routine laparoscopic versus open appendectomy.

TitleA comparative study of routine laparoscopic versus open appendectomy.
Authors
Issue Date2006
PublisherSociety of Laparoendoscopic Surgeons.
Citation
12th International Congress and Endo Expo, SLS Annual Meeting, Las Vegas, Nevada, USA, September 21–25, 2003. In Jsls : Journal Of The Society Of Laparoendoscopic Surgeons / Society Of Laparoendoscopic Surgeons, 2006, v. 10 n. 2, p. 188-192 How to Cite?
AbstractOBJECTIVE: We evaluated the outcomes of routine laparoscopy and laparoscopic appendectomy (LA) in patients with suspected appendicitis. This is a retrospective study of the outcomes of patients undergoing laparoscopic appendectomy compared with outcomes for patients undergoing open appendectomy (OA) during the time that LA came into use. METHOD: Results of patients managed with routine laparoscopy and LA for suspected acute appendicitis were reviewed and analyzed. The preoperative and intraoperative findings were recorded. The clinical outcomes were compared with those of patients undergoing OA in the preceding 10 months. RESULTS: During the LA study period, 97 patients (47 men) with the median age of 34 years (range, 18 to 79) presented with clinical features of acute appendicitis. With the exclusion of 5 patients with open operations and 10 patients with other pathologies, 82 patients underwent laparoscopic appendectomy (Group A) for appendicitis. Thirty-one (37.8%) patients had complicated appendicitis (perforated or gangrenous appendicitis). Conversions were required in 6 patients (7.3%). During the OA period, 125 patients (57 men) with the median age of 42 (range, 19 to 79) years were operated on. With the exclusion of 6 patients with other pathologies, 119 underwent OA for acute appendicitis (Group B). Fifty-one (42.9%) had either perforated or gangrenous appendicitis. The median durations of surgery in Group A and Group B were 80 minutes (range, 40 to 195) and 60 minutes (range, 25 to 260), respectively (P < 0.005). Postoperative complication rates were comparable between the 2 groups (13.4% in Group A versus 15.8% in Group B). The median hospital stay for patients in Group A and Group B were 3.0 days (range, 1 to 47) and 4.0 days (range, 1 to 47), respectively (P = 0.037). CONCLUSIONS: We conclude that routine laparoscopy and LA for suspected acute appendicitis is safe and is associated with a significantly shorter hospital stay. Other intra-abdominal pathologies can also be diagnosed more accurately with the laparoscopic approach.
Persistent Identifierhttp://hdl.handle.net/10722/84368
ISSN
2015 Impact Factor: 0.814
2015 SCImago Journal Rankings: 0.481
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorYong, JLen_HK
dc.contributor.authorLaw, WLen_HK
dc.contributor.authorLo, CYen_HK
dc.contributor.authorLam, CMen_HK
dc.date.accessioned2010-09-06T08:52:07Z-
dc.date.available2010-09-06T08:52:07Z-
dc.date.issued2006en_HK
dc.identifier.citation12th International Congress and Endo Expo, SLS Annual Meeting, Las Vegas, Nevada, USA, September 21–25, 2003. In Jsls : Journal Of The Society Of Laparoendoscopic Surgeons / Society Of Laparoendoscopic Surgeons, 2006, v. 10 n. 2, p. 188-192en_HK
dc.identifier.issn1086-8089en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84368-
dc.description.abstractOBJECTIVE: We evaluated the outcomes of routine laparoscopy and laparoscopic appendectomy (LA) in patients with suspected appendicitis. This is a retrospective study of the outcomes of patients undergoing laparoscopic appendectomy compared with outcomes for patients undergoing open appendectomy (OA) during the time that LA came into use. METHOD: Results of patients managed with routine laparoscopy and LA for suspected acute appendicitis were reviewed and analyzed. The preoperative and intraoperative findings were recorded. The clinical outcomes were compared with those of patients undergoing OA in the preceding 10 months. RESULTS: During the LA study period, 97 patients (47 men) with the median age of 34 years (range, 18 to 79) presented with clinical features of acute appendicitis. With the exclusion of 5 patients with open operations and 10 patients with other pathologies, 82 patients underwent laparoscopic appendectomy (Group A) for appendicitis. Thirty-one (37.8%) patients had complicated appendicitis (perforated or gangrenous appendicitis). Conversions were required in 6 patients (7.3%). During the OA period, 125 patients (57 men) with the median age of 42 (range, 19 to 79) years were operated on. With the exclusion of 6 patients with other pathologies, 119 underwent OA for acute appendicitis (Group B). Fifty-one (42.9%) had either perforated or gangrenous appendicitis. The median durations of surgery in Group A and Group B were 80 minutes (range, 40 to 195) and 60 minutes (range, 25 to 260), respectively (P < 0.005). Postoperative complication rates were comparable between the 2 groups (13.4% in Group A versus 15.8% in Group B). The median hospital stay for patients in Group A and Group B were 3.0 days (range, 1 to 47) and 4.0 days (range, 1 to 47), respectively (P = 0.037). CONCLUSIONS: We conclude that routine laparoscopy and LA for suspected acute appendicitis is safe and is associated with a significantly shorter hospital stay. Other intra-abdominal pathologies can also be diagnosed more accurately with the laparoscopic approach.en_HK
dc.languageengen_HK
dc.publisherSociety of Laparoendoscopic Surgeons.en_HK
dc.relation.ispartofJSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeonsen_HK
dc.titleA comparative study of routine laparoscopic versus open appendectomy.en_HK
dc.typeConference_Paperen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1086-8089&volume=10&issue=2&spage=188&epage=192&date=2006&atitle=A+comparative+study+of+routine+laparoscopic+versus+open+appendectomyen_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid16882418-
dc.identifier.pmcidPMC3016135-
dc.identifier.scopuseid_2-s2.0-39049184089en_HK
dc.identifier.hkuros117639en_HK
dc.identifier.volume10en_HK
dc.identifier.issue2en_HK
dc.identifier.spage188en_HK
dc.identifier.epage192en_HK
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridYong, JL=7102704670en_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK
dc.identifier.scopusauthoridLo, CY=16417392800en_HK
dc.identifier.scopusauthoridLam, CM=7402989820en_HK

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