Prospective randomized multicentre study of laparoscopic versus open appendicectomy
| Autor: | A Hellberg, Bengt Hallerbäck, H Graffner, B Johansson, Claes Rudberg, Eric Kullman, B. Anderberg, Ivar Ringqvist, Jörgen Wenner, G Fenyö, Stefan Sörensen, Lars Enochsson |
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| Rok vydání: | 1999 |
| Předmět: |
Laparoscopic surgery
Adult medicine.medical_specialty Time Factors Adolescent Postoperative pain medicine.medical_treatment law.invention Randomized controlled trial law medicine Appendectomy Humans Surgical Wound Infection Prospective Studies Prospective cohort study Laparoscopy Aged Pain Postoperative medicine.diagnostic_test business.industry Middle Aged medicine.disease Appendicitis Surgery Clinical trial Sick leave Acute Disease Sick Leave business Follow-Up Studies |
| Zdroj: | The British journal of surgery. 86(1) |
| ISSN: | 0007-1323 |
| Popis: | Background A prospective randomized multicentre study was performed to compare the outcome of laparoscopic and open appendicectomy in patients with suspected acute appendicitis. Methods A total of 523 patients was randomized, but because of 23 withdrawals the outcome in 500 patients is reported, 244 in the laparoscopic group and 256 in the open group. Results Patients having laparoscopic appendicectomy recovered more quickly than those having open surgery (13 versus 21 days, P < 0·001). There was no significant difference in duration of sick leave after operation (laparoscopic group 11 days versus open group 14 days). Postoperative pain (at 24 h, 7 days and 14 days) was less after laparoscopic operations and a functional index 1 week after operation was more favourable in these patients (P< 0·001). Operating time was significantly longer in the laparoscopic group (60 versus 35 min, P< 0·01). Hospital stay and complications did not differ between the groups. Thirty laparoscopic procedures (12 per cent) were converted to open appendicectomy. Conclusion Laparoscopic appendicectomy is as safe as open appendicectomy and has the advantage of allowing a quicker recovery. |
| Databáze: | OpenAIRE |
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