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Current trends in the management of acute appendicitis
1Department of Surgery, Mid-Western Regional Hospital, Limerick, Ireland.
Background:
While laparoscopic appendectomy (LA) has become established in the diagnosis and treatment of acute appendicitis, its utilisation compared to open appendectomy (OA) is variable.
Aim:
To compare the utilisation and outcome of laparoscopic (LA) versus OA in an Irish regional hospital setting.
Method:
Retrospective review of OA and LA performed from 2003 to 2005.
Results:
Intention-to-treat analysis of 787 patients in this study revealed that 149 patients (19%) had LA and 638 patients (81%) had OA. Consultants were significantly more likely than trainees to undertake a LA (P < 0.0001). Twenty-two complications (2.8%) were recorded in the post-operative period. The overall negative appendectomy rate by histopathology was 17% with no significant difference between the rate in the LA group (19%) and the OA (17%) group.
Conclusion:
Mean length of stay and complication rate were comparable between the LA and OA groups.
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