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Updated: Mar 11, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
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Same-Day Discharge in Laparoscopic Acute Non-Perforated Appendectomy.

Andrew Scott1, Shant Shekherdimian1, Joshua D Rouch1

  • 1Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA; Division of Pediatric Surgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA.

Journal of the American College of Surgeons
|November 20, 2016
PubMed
Summary

Same-day discharge after appendectomy for non-perforated appendicitis is safe and cost-effective for adult patients. This approach does not increase complication or readmission rates compared to overnight hospitalization.

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Area of Science:

  • Surgical outcomes
  • Health services research

Background:

  • Previous small studies suggested same-day discharge after appendectomy for non-perforated appendicitis.
  • Large-scale data were needed to confirm the safety and efficacy of this approach.

Purpose of the Study:

  • To confirm the safety and cost-effectiveness of same-day discharge for adult patients with acute, non-perforated appendicitis.

Main Methods:

  • Retrospective study of 12,703 adult patients with acute, non-perforated appendicitis undergoing laparoscopic appendectomy.
  • Comparison of same-day discharge group (6,710 patients) versus overnight hospitalization group (5,993 patients).
  • Analysis of readmission rates, complications, emergency visits, radiology visits, reoperations, and costs.

Main Results:

  • Same-day discharge group had a significantly lower 30-day readmission rate (2.2% vs 3.1%; p < 0.005).
  • Postoperative emergency and radiology visits were similar between groups.
  • Hospitalized group had slightly higher general surgery department visits (85% vs 81%; p < 0.001).

Conclusions:

  • Same-day discharge is a safe option for adult patients with acute, non-perforated appendicitis.
  • This approach does not lead to increased postoperative complications or readmissions.
  • Same-day discharge is a cost-effective strategy for managing non-perforated appendicitis.