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Related Experiment Videos

Day case emergency laparoscopic appendectomy.

A D Gilliam1, R Anand, L F Horgan

  • 1North Tyneside Hospital, Rake Lane, North Shields, Tyne and Wear, NE29 8NH, UK. andrewgilliam@btinternet.com

Surgical Endoscopy
|August 21, 2007
PubMed
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Day case laparoscopic appendectomy (LA) is a safe and effective emergency procedure. This approach offers a shorter hospital stay and fewer complications compared to open appendectomy (OA).

Area of Science:

  • General Surgery
  • Minimally Invasive Surgery

Background:

  • Laparoscopic appendectomy (LA) offers advantages over open appendectomy (OA), including shorter hospital stays and reduced complications.
  • The study investigates the feasibility of same-day discharge for emergency laparoscopic appendectomies.

Purpose of the Study:

  • To evaluate the safety and efficacy of same-day discharge emergency laparoscopic appendectomy.
  • To assess key outcomes including length of stay, complication rates, and operative times.

Main Methods:

  • Retrospective review of 104 patients undergoing emergency LA over three years.
  • Data collected included length of stay (LOS), complications, histology, surgeon grade, and operative time.
  • Analysis focused on outcomes for patients discharged within 8 or 24 hours.

Related Experiment Videos

Main Results:

  • Median LOS was 22 hours (range 6-170 hours), with 9 patients discharged in 8 hours and 66 in 24 hours.
  • One conversion to open appendectomy (OA) occurred.
  • Complications included three wound infections and two pelvic abscesses, none requiring further surgery.
  • Histology confirmed appendicitis in 86 patients and other pathologies in 18.

Conclusions:

  • Same-day discharge emergency laparoscopic appendectomy (LA) is a safe and effective treatment option for selected patients.
  • The procedure demonstrates favorable outcomes regarding LOS and complication rates.
  • LA can be successfully implemented in an emergency setting for same-day discharge.