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Updated: Jul 17, 2026

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein
Published on: September 27, 2024
Factors leading to long-term hospitalization after laparoscopic appendectomy
Paulo Cezar Galvão do Amaral1, Euler de Medeiros Azaro Filho, Thales Delmondes Galvão
1General Surgery Division, São Rafael Hospital, Department of Surgery, Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil. pcgamaral@terra.com.br
Background:
Randomized studies demonstrate that laparoscopic appendectomy yields better results compared with open techniques. We sought to identify factors that determine an extended hospital stay among patients undergoing laparoscopic appendectomy.
Methods:
This was a prospective study including 669 patients undergoing laparoscopic appendectomy. We analyzed variables that can predict the length of hospital stay.
Results:
Of 669 patients undergoing laparoscopic appendectomy, 141 stayed in the hospital for > or = 5 days (Group 1), and 97 stayed in the hospital for < or = 1 day after surgery (Group 2). The univariate analysis demonstrated that fever (P<0.0001), nausea and vomiting (P=0.060), leukocytosis (P<0.0001), gangrened or perforated intraoperative appearance of the appendix (P<0.0001), and appendix position behind the ileocecal junction (P<0.001) were related to a longer hospital stay. The multivariate analysis through logistical regression showed that the factors independently and significantly associated with an extended hospital stay were presurgical fever, appendix position behind the ileocecal junction, and intraoperative gangrened or perforated appearance of the appendix.
Conclusion:
Fever, appearance, and position of the appendix are factors related to an extended hospital stay.
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