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 appendectomy in the elderly.

Ulrich Guller1, Nitin Jain, Eric D Peterson

  • 1Department of Surgery, the Center for Excellence in Surgical Outcomes, Duke University Medical Center, Durham, NC, USA.

Surgery
|May 1, 2004
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

Improving postdischarge outcomes in patients hospitalized for acute heart failure syndromes.

JAMA·2011
Same author

Potential impact of optimal implementation of evidence-based heart failure therapies on mortality.

American heart journal·2011
Same author

Associations between published quality ratings of skilled nursing facilities and outcomes of medicare beneficiaries with heart failure.

Journal of the American Medical Directors Association·2011
Same author

Care models and associated outcomes in congenital heart surgery.

Pediatrics·2011
Same author

Association between patient beliefs and medication adherence following hospitalization for acute coronary syndrome.

American heart journal·2011
Same author

Do heart failure disease management programs make financial sense under a bundled payment system?

American heart journal·2011
Same journal

Comparative outcomes of biologic versus synthetic mesh in inguinal hernia repair: A systematic review and meta-analysis.

Surgery·2026
Same journal

When survival models fail: An interpretable anomaly-detection approach for high-risk phenotypes in resected solid pseudopapillary tumors.

Surgery·2026
Same journal

Familiar but unprepared: Artificial intelligence training needs in graduate medical education.

Surgery·2026
Same journal

One-year health care expenditures and patient out-of-pocket spending after open versus minimally invasive hepatopancreatobiliary surgery.

Surgery·2026
Same journal

Shock index, hypotension, and blood product transfusion as predictors of post-traumatic stress disorder in firearm-related trauma.

Surgery·2026
Same journal

Outcomes following endovascular aortic aneurysm repair in nonagenarian patients.

Surgery·2026
See all related articles

Laparoscopic appendectomy (LA) offers significant benefits over open appendectomy (OA) for appendicitis treatment in all age groups. This includes shorter hospital stays, more routine discharges, and reduced complications and mortality for both younger and elderly patients.

Area of Science:

  • Surgical outcomes research
  • Comparative effectiveness of surgical procedures
  • Gastrointestinal surgery

Background:

  • Laparoscopic appendectomy (LA) is suggested to be superior to open appendectomy (OA).
  • The efficacy of LA in elderly patients with appendicitis remains uncertain.
  • Appendicitis treatment outcomes require further comparative analysis.

Observation:

  • A large-scale analysis of Nationwide Inpatient Samples data from 1998-2000 was conducted.
  • The study compared outcomes for 32,406 LA patients and 112,884 OA patients.
  • Key outcomes analyzed included length of stay, routine discharge rates, and in-hospital morbidity and mortality.

Findings:

  • Risk-adjusted analysis revealed LA significantly reduced hospital stay (2.45 vs. 3.71 days) and mortality (OR 0.23) compared to OA.

Related Experiment Videos

  • LA also demonstrated higher routine discharge rates (OR 2.80) and lower complication rates (OR 0.92).
  • These benefits of LA were consistent across age groups (<65 and ≥65 years) and in cases of appendiceal perforation or abscess.

    • Implications:

    • Laparoscopic appendectomy is a safe and effective treatment for appendicitis across diverse patient populations, including the elderly.
    • The findings support the broader adoption of LA for appendicitis, potentially improving patient recovery and reducing healthcare costs.
    • Further research could explore long-term outcomes and cost-effectiveness of LA versus OA.