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09:51
Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
Published on: December 4, 2023
Recent experience with laparoscopic appendectomy in a Canadian teaching centre
Abdullah Ali1, Michael A J Moser
1Department of Surgery, University of Western Ontario, London, Ontario, Canada.
Canadian Journal of Surgery. Journal Canadien De Chirurgie
|February 6, 2008
Summary
Laparoscopic appendectomy (LA) operative time nears open appendectomy (OA) with experience, and hospital stays shorten. These findings support LA use in teaching hospitals.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Appendectomy Outcomes
Background:
- Laparoscopic appendectomy (LA) adoption is debated due to early learning curve challenges.
- Previous studies indicated longer operative times for LA compared to open appendectomy (OA).
Purpose of the Study:
- To reevaluate laparoscopic appendectomy (LA) outcomes after gaining experience.
- To document the learning curve for LA at a Canadian teaching center.
Main Methods:
- Retrospective chart review of 201 patients undergoing nonelective appendectomy (2001-2004).
- Cases divided into early, middle, and late experience groups (n=67 each).
- Comparison of operative time and length of stay between LA and OA, and across experience periods.
Main Results:
- Mean operative time for LA was 54.9 min vs. 48.8 min for OA (p=0.004).
- Mean length of stay was 1.3 days for LA vs. 2.9 days for OA (p<0.0001).
- Significant improvements in LA operative time and length of stay were observed from the early to middle experience periods.
Conclusions:
- LA operative time approaches that of OA with increased surgeon experience.
- LA is associated with a significantly shorter hospital stay compared to OA.
- The combination of reduced length of stay and educational benefits supports LA adoption in teaching centers.
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