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Endoscopic retrograde appendicitis therapy versus laparoscopic appendectomy for uncomplicated acute appendicitis
Baohong Yang1,2, Lingjian Kong1, Saif Ullah1
1Department of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Endoscopy
|January 12, 2022
Summary
Endoscopic retrograde appendicitis therapy (ERAT) offers a minimally invasive, effective treatment for acute appendicitis. ERAT demonstrated higher pain reduction and shorter recovery times compared to traditional laparoscopic surgery.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Surgical Innovation
Background:
- Acute appendicitis remains a common surgical condition.
- Laparoscopic appendectomy is the standard treatment.
- Endoscopic retrograde appendicitis therapy (ERAT) presents a novel, less invasive alternative.
Purpose of the Study:
- To evaluate the efficacy and clinical outcomes of ERAT.
- To compare ERAT with laparoscopic appendectomy for uncomplicated acute appendicitis.
Main Methods:
- Propensity score matching (1:1) was used for patient comparison.
- Study included 78 matched pairs of patients with uncomplicated acute appendicitis.
- Data collected between April 2017 and March 2020.
Main Results:
- ERAT achieved a 92.1% curative treatment rate within one year.
- Significantly higher pain reduction (VAS ≤3) at 6 hours was observed with ERAT (94.7%) versus laparoscopy (83.3%).
- ERAT showed significantly shorter procedure times and hospital stays, with comparable adverse event rates.
Conclusions:
- ERAT is a technically feasible and effective treatment for uncomplicated acute appendicitis.
- ERAT offers advantages in pain management and recovery compared to laparoscopic appendectomy.
- Further research may solidify ERAT's role in appendicitis management.
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