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Randomized Controlled Trial
. 2007 Jan-Mar;11(1):54-8.

Laparoscopic appendectomy in patients with a body mass index of 25 or greater: results of a double blind, prospective, randomized trial

Robert Ricca  1 , James J Schneider, Harpreet Brar, Paul A Lucha
Affiliations
Randomized Controlled Trial

Laparoscopic appendectomy in patients with a body mass index of 25 or greater: results of a double blind, prospective, randomized trial

Robert Ricca et al. JSLS. 2007 Jan-Mar.

Abstract

Background: The reported advantages of the laparoscopic approach to appendectomy are shortened hospital stay, less postoperative pain, and earlier return to usual activities (work). However, a prospective, randomized, double-blind trial comparing laparoscopic appendectomy with open appendectomy in active-duty males failed to disclose a benefit of laparoscopic appendectomy with regards to postoperative pain and return to work. The aim of our study was to compare open and laparoscopic appendectomy in overweight patients.

Methods: We conducted a prospective, randomized, double-blind study to determine whether laparoscopic appendectomy or the open procedure in overweight patients offers a significant reduction in lost workdays, postoperative pain, or operative time from. Open appendectomy in overweight patients (those with a body mass index > or =25) may be more difficult due to excessive subcutaneous adipose tissue. The open incision may be of considerable size, which may result in increased postoperative pain and a prolonged convalescence.

Results: There was a statistically significant increase in operative time for laparoscopic appendectomy of 11 minutes. As expected, the aggregate incision length for open appendectomy was twice that of the laparoscopic appendectomy.

Conclusion: The data from this prospective, randomized, double-blind study failed to demonstrate any significant reduction in lost workdays, postoperative pain, or operative time with laparoscopic appendectomy.

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Figures

Figure 1.
Figure 1.
Lost workdays.
Figure 2.
Figure 2.
Operative time, incision length, estimated blood loss (EBL).
Figure 3.
Figure 3.
Visual analogue pain scores.
Figure 4.
Figure 4.
Distribution of pathology (clinical and microscopic).
Figure 5.
Figure 5.
Combined visual analogue pain scores.
See this image and copyright information in PMC

References

    1. Hart R, Rajgopal C, Plewes A, et al. Laparoscopic versus open appendectomy: a prospective randomized trial of 81 patients. Can J Surg. 1996;39:457–462 - PMC - PubMed
    1. Mutter D, Vix M, Bui A, et al. Laparoscopy not recommended for routine appendectomy in men: results of a prospective randomized study. Surgery. 1996;120:71–74 - PubMed
    1. McCahill L, Pellegrini C, Wiggins T, Helton W. A clinical outcome and cost analysis of laparoscopic versus open appendectomy. Am J Surg. 1996;171:533–537 - PubMed
    1. Enochsson L, Hellberg A, Rudberg C, et al. Laparoscopic vs open appendectomy in overweight patients. Surg Endosc. 2001;15:387–392 - PubMed
    1. Ignacio R, Burke R, Spencer D, Bissell C, Dorsainvil C, Lucha P. Laparoscopic versus open appendectomy - what is the real difference? Results of a prospective randomized double blinded trial. Surg Endosc. 2004;18:334–337 - PubMed

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