Related Experiment Video
Updated: Jul 13, 2026
03:33
Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein
Published on: September 27, 2024
Day-case laparoscopic surgery for appendicitis and non-specific abdominal pain
Luigi Francesco Ciardo1, Ferdinando Agresta, Natalino Bedin
1UO di Chirurgia Generale ULSS 7, Ospedale di Vittorio Veneto, Via Forlanini, 71, 31029 Vittorio Veneto, Treviso.
Chirurgia Italiana
|August 1, 2007
Summary
Day-case laparoscopic surgery is safe and effective for uncomplicated appendicitis and abdominal pain. Careful patient selection and pain management are key to successful same-day discharge after these procedures.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Laparoscopic surgery is frequently employed for appendiceal diseases and non-specific abdominal pain.
- The efficacy of day-case laparoscopic surgery for these conditions remains a subject of ongoing discussion.
Purpose of the Study:
- To determine the optimal patient selection criteria for day-case laparoscopic surgery in cases of appendicitis and non-specific abdominal pain.
- To evaluate the safety and effectiveness of same-day discharge protocols for laparoscopic procedures.
Main Methods:
- A retrospective analysis of 424 patients undergoing laparoscopic surgery for appendicitis or non-specific abdominal pain between January 1, 2000, and December 31, 2005.
- Comparison of outcomes between 41 patients managed on a day-case basis and 61 patients treated with traditional open surgery.
Main Results:
- Of the 41 day-case patients, 81% (33) were discharged within 24 hours without major complications or readmissions.
- Persistent postoperative pain prevented discharge in 2 patients; 6 had longer hospital stays for non-medical reasons.
- In contrast, open surgery patients experienced significantly longer hospitalizations, with 3 readmissions within 30 days and no day-case procedures.
Conclusions:
- Day-case laparoscopic surgery presents a valid, safe, and effective treatment option for uncomplicated appendicitis and non-specific abdominal pain.
- Successful implementation hinges on meticulous preoperative patient selection and robust postoperative pain management strategies.
Related Concept Videos
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:22Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...