[Is open appendectomy still up-to-date?]
- PMID: 15756921
- DOI: 10.1024/0040-5930.62.2.111
[Is open appendectomy still up-to-date?]
Abstract
The acceptance of the laparoscopic technique for appendectomy can't be compared with the success in laparoscopic cholecystectomy. The discussion is still controversial. A lower rate of wound infection in comparison to open appendectomy has been proven statistically in many studies. There is no evidence of a higher rate of complications. Postoperative pain may be reduced and return to work is often earlier. Cosmesis shows better results. Operation time and hospital stay are comparable to open appendectomy. The total of direct and indirect costs is not higher with laparoscopic than with open appendectomy. Excellent indications for laparoscopic appendectomy are atypical pain in the right lower abdomen, uncertain diagnosis in fertile and elderly women, obesity and complicated appendicitis. Controlled double-blinded randomized studies are necessary in the future to define the advantages and further indications.
Similar articles
-
Laparoscopic appendectomy: indications and controversies.Semin Laparosc Surg. 2002 Mar;9(1):32-9. Semin Laparosc Surg. 2002. PMID: 11979408 Review.
-
Comparison of outcomes of laparoscopic and open appendectomy in management of uncomplicated and complicated appendicitis.Ann Surg. 2011 Dec;254(6):927-32. doi: 10.1097/SLA.0b013e31822aa8ea. Ann Surg. 2011. PMID: 21804381
-
A prospective randomized comparison of laparoscopic appendectomy with open appendectomy: Clinical and economic analyses.Surgery. 2001 Apr;129(4):390-400. doi: 10.1067/msy.2001.114216. Surgery. 2001. PMID: 11283528 Clinical Trial.
-
[Laparoscopic or open appendectomy. Critical review of the literature and personal experience].G Chir. 2001 Oct;22(10):353-7. G Chir. 2001. PMID: 11816948 Review. Italian.
-
The minimally invasive approach to appendectomy: is less better?Eur J Pediatr Surg. 2012 Jun;22(3):201-6. doi: 10.1055/s-0032-1320015. Epub 2012 Jul 5. Eur J Pediatr Surg. 2012. PMID: 22767173 Review.
Cited by
-
Laparoscopic versus open appendectomy for acute appendicitis: a metaanalysis.Surg Endosc. 2011 Apr;25(4):1199-208. doi: 10.1007/s00464-010-1344-z. Epub 2010 Sep 17. Surg Endosc. 2011. PMID: 20848140
-
Identification of preoperative risk factors associated with the conversion of laparoscopic to open appendectomies.Int Surg. 2013 Oct-Dec;98(4):334-9. doi: 10.9738/INTSURG-D-13-00058.1. Int Surg. 2013. PMID: 24229020 Free PMC article.
-
[Surgical site infection rates using a laparoscopic approach: results of the German national nosocomial infections surveillance system].Chirurg. 2007 Oct;78(10):910-4. doi: 10.1007/s00104-007-1353-1. Chirurg. 2007. PMID: 17492262 German.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources