Laparoscopic Appendectomy: A Viable Alternative Approach
| Autor: | Mark Pleatman, Yvan J. Silva, Munier Nazzal, Amer Saba, Ashton A. Kaidi, Fuad Turfah, M. Azhar Ali |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male medicine.medical_specialty Cost-Benefit Analysis Less invasive Age and sex medicine Appendectomy Humans Prospective Studies Hospital Costs Retrospective Studies Analgesics business.industry Significant difference Length of Stay Middle Aged Appendicitis Surgery Treatment Outcome Anesthesia Acute Disease Acute appendicitis Female Laparoscopy business Hospital stay |
| Zdroj: | Journal of Laparoendoscopic & Advanced Surgical Techniques. 7:1-6 |
| ISSN: | 1557-9034 1092-6429 |
| Popis: | Laparoscopic appendectomy (LA) is relatively a new technique and requires comparison to open appendectomy (OA) to determine the more favorable approach in the surgical management of acute appendicitis. We designed this study to compare the course and postoperative complications between LA and OA. We reviewed the charts of both groups of patients and followed their course in the hospital. Seventy-seven patients who underwent LA with one conversion to the open technique (1.3%) were compared to 84 patients who underwent OA. There was no difference in age and sex distribution. The mean hospital stay was shorter in the LA (32.5+/-10 vs 74.2+/-24 h, p < 0.0001). Parenteral analgesia requirement was higher in the OA group (4.7+/-1.4 vs 2.6+/-2, p < 0.0001). The total cost was higher in the OA group ($11,260+/-4000 vs 7,090+/-3500, p < 0.05). There was no significant difference in the OR time, duration of the procedure, and surgery costs between both groups. Normal appendices removed were similar in both OA and LA groups (23.8 vs 28.9%). There was no difference in the rates of postoperative complications between both groups. We conclude that LA is a viable alternative to OA. It is safe, cost effective, and less invasive than the OA with less pain and shorter hospital stay. |
| Databáze: | OpenAIRE |
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