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Related Experiment Videos

Laparoscopic is not better than open appendectomy

K N Apelgren1, R G Molnar, J M Kisala

  • 1Department of Surgery, Michigan State University, East Lansing 48824.

The American Surgeon
|March 1, 1995
PubMed
Summary
This summary is machine-generated.

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Laparoscopic appendectomy is not superior to open appendectomy. This study found longer operating times, higher costs, and a greater negative appendectomy rate in the laparoscopic group.

Area of Science:

  • General Surgery
  • Minimally Invasive Procedures

Background:

  • Laparoscopic appendectomy is gaining traction among general surgeons.
  • Its benefits over open appendectomy are less clear than those of laparoscopic cholecystectomy.

Purpose of the Study:

  • To compare laparoscopic appendectomy with open appendectomy.
  • To evaluate key patient and procedural outcomes.

Main Methods:

  • Retrospective review of nonrandomized patients (April 1991 - February 1993).
  • Analysis of patient age, gender, OR time, hospital cost, hospital stay, negative appendectomy rate, and wound infection rate.

Main Results:

  • No significant difference in patient age or hospital stay.
  • Laparoscopic group had more females (68% vs 39%), longer OR time (+18 min), higher cost (+$1400), and a higher negative appendectomy rate (37% vs 12%).

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  • Wound infection rates were similar between groups.

    • Conclusions:

    • Laparoscopic appendectomy did not demonstrate superiority over open appendectomy in this study.
    • Higher costs and negative appendectomy rates warrant consideration.