Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Laparoscopic versus open surgery for suspected appendicitis.

S Sauerland1, R Lefering, E A Neugebauer

  • 1Biochem. & Exptl. Dept., 2nd Dept. of Surgery, University of Cologne, Osterheimer Strasse 200, Cologne, Germany, D 51109. s.sauerland@uni-koeln.de

The Cochrane Database of Systematic Reviews
|March 1, 2002
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Rapid sequence versus early surgical stabilization of severe chest wall injuries: a propensity score-matched analysis from a multicenter trauma registry.

Critical care (London, England)·2026
Same author

Validation of the 2022 German trauma team activation criteria: a national registry study with focus on geriatric-specific modifiers.

Scandinavian journal of trauma, resuscitation and emergency medicine·2026
Same author

Preventing the disaster: severe abdominal injury in child passengers of motor vehicle accidents often indicate even more serious trauma.

European journal of trauma and emergency surgery : official publication of the European Trauma Society·2025
Same author

Trends in pre-hospital volume resuscitation of blunt trauma patients: a 15-year analysis of the British (TARN) and German (TraumaRegister DGU®) National Registries.

Critical care (London, England)·2024
Same author

Imposter or knight in shining armor? Pelvic circumferential compression devices (PCCD) for severe pelvic injuries in patients with multiple trauma: a trauma-registry analysis.

Scandinavian journal of trauma, resuscitation and emergency medicine·2024
Same author

How to evaluate scar colour after burn injuries - A clinical comparison of the Mexameter® and the subjective scar assessment (POSAS/VSS).

Burns : journal of the International Society for Burn Injuries·2023
Same journal

Interventions to prevent or cease electronic cigarette use in children and adolescents.

The Cochrane database of systematic reviews·2026
Same journal

Drugs to improve anaemia, quality of life, and physical function in people with myelodysplastic syndromes (MDS).

The Cochrane database of systematic reviews·2026
Same journal

Interventions for smoking cessation in inpatient psychiatry settings.

The Cochrane database of systematic reviews·2026
Same journal

Mechanical thromboprophylaxis for preventing intradialytic hypotension in people undergoing maintenance haemodialysis.

The Cochrane database of systematic reviews·2026
Same journal

Prognostic models for predicting intensive care unit admission or mortality in critically ill adults not yet been admitted to the intensive care unit.

The Cochrane database of systematic reviews·2026
Same journal

Views and experiences of weight management for people living with mobility‑limiting conditions, intellectual disabilities or severe mental illness: a qualitative evidence synthesis.

The Cochrane database of systematic reviews·2026
See all related articles

Laparoscopic appendectomy (LA) offers benefits like fewer wound infections and faster recovery but increases intraabdominal abscess risk compared to open appendectomy (OA). Diagnostic laparoscopy improves diagnostic accuracy for appendicitis.

Area of Science:

  • Minimally Invasive Surgery
  • Gastrointestinal Surgery
  • Evidence-Based Medicine

Background:

  • Laparoscopic surgery is proposed to offer diagnostic and therapeutic advantages over conventional surgical methods.
  • Acute appendicitis diagnosis and treatment remain a common surgical challenge.

Purpose of the Study:

  • To compare the diagnostic and therapeutic outcomes of laparoscopic appendectomy (LA) versus conventional open appendectomy (OA).
  • To evaluate the effectiveness of diagnostic laparoscopy (LAP) in suspected appendicitis cases.

Main Methods:

  • Systematic review of randomized controlled trials comparing LA and OA in adults and children.
  • Searched major databases (Cochrane, MEDLINE, EMBASE) and congress proceedings.
  • Included studies assessed therapeutic effects and diagnostic accuracy, excluding those with unconcealed allocation.

Related Experiment Videos

Main Results:

  • LA resulted in fewer wound infections but more intraabdominal abscesses than OA.
  • LA was associated with reduced pain, shorter hospital stays, and faster return to normal activities.
  • Diagnostic laparoscopy significantly reduced negative appendectomy rates and improved diagnostic certainty, especially in women.

Conclusions:

  • Laparoscopic approaches offer advantages in suspected appendicitis when expertise and resources are available.
  • LA may carry a higher risk of intraabdominal infections in complicated cases (gangrenous or perforated appendicitis).
  • Laparoscopy is generally recommended for suspected appendicitis unless contraindicated or infeasible.