eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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3/2009
vol. 4
 
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Original paper

Open or laparoscopic appendectomy?

Marcin Strzałka
,
Andrzej Bobrzyński
,
Andrzej Budzyński
,
Anna Gwóźdź

Videosurgery and other miniinvasive techniques 2009; 4 (3): 110-114
Online publish date: 2009/11/12
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Introduction: Laparoscopy is now used more and more frequently in the treatment of patients with acute surgical abdominal diseases. Acute appendicitis is the commonest indication for emergency abdominal surgery.
Aim: To present the results of the treatment of patients with acute appendicitis and to compare the results of laparoscopic and open appendectomies.
Material and methods: Seven hundred and fifteen patients with acute appendicitis were operated on in the 2nd Department of General Surgery of the Jagiellonian University from 1996 to 2005. We performed 450 laparoscopic (63%) and 265 open procedures (37%). There were 249 females (55%) and 201 males (45%) in the laparoscopic group. Open approach was used in 109 women (41%) and 156 men (59%). The average age of patients in the laparoscopic group was 29.1 years (SD = 14.9) and 35.4 years (SD = 18.2) in the open group.
Results: Laparoscopic appendectomies were performed more and more frequently over the analyzed period. The complication rate in the minimally invasive procedure group was 3.3% as compared to 15.1% in the open group. The average hospital stay was shorter after laparoscopic appendectomy (4.8 vs. 10.4 days). The conversion rate was low (4.5%).
Conclusions: Laparoscopic appendectomy is a safe procedure associated with shorter hospital stay and decreased complication rates as compared to the open procedure.
keywords:

laparoscopic appendectomy, open appendectomy, results, conversions

  
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