Scientific papersTrends in utilization and outcomes of laparoscopic versus open appendectomy
Section snippets
Database
Administrative data of patients who underwent open or laparoscopic appendectomy from 1999 to 2003 were obtained from the University HealthSystem Consortium (UHC) Clinical Data Base. The UHC database is a collection of patient-level all-payer hospital UB-92 and discharge abstract data from academic health centers and affiliate community hospitals and contains discharge information on inpatient hospital stay such as patient characteristics (age, sex, and race), postoperative length of stay,
Results
From 1999 to 2003, a total of 60,236 patients underwent laparoscopic or open appendectomy for the treatment of acute and perforated appendicitis at 129 academic institutions in the United States. As shown in Table 1, there were 126 institutions performing laparoscopic appendectomy (n = 19,151) and 129 institutions performing open appendectomy (n = 41,085). The mean number of laparoscopic appendectomies done annually at each institution was 30, and the mean number of open appendectomies done
Comments
Although the accepted treatment for acute and perforated appendicitis is appendectomy, the optimal technique for appendectomy is still unclear. Multiple comparative studies and prospective randomized trials comparing laparoscopic versus open appendectomy have been reported; yet, the clinical advantages and cost-effectiveness of laparoscopic appendectomy are still not clearly defined [6], [7], [8], [9], [10], [11]. Despite the mixed results of these studies, the utilization of laparoscopic
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The contemporary appendectomy for acute uncomplicated appendicitis in adults
2019, Surgery (United States)Comparison of clinical outcome of laparoscopic versus open appendectomy, single center experience
2018, HeliyonCitation Excerpt :Since 2000, laparoscopic appendectomies have become popular worldwide because they were demonstrated in comparative cases to be well tolerated [10, 11, 12, 13]. Laparoscopic surgical procedure has advantages in several surgical areas of daily practice as a minimally invasive technique, and several reports published in the last decade described the superiority of LA against conventional open approach cosmetic outcomes and low cost also is another factor where LA supersedes open approach, and are an important issues in OA [6, 11]. In addition, less postoperative pain, early recovery, and improved cosmetic appearance are accepted as the main advantages of LA [10].
Prolonged operative time in laparoscopic appendectomy: Predictive factors and outcomes
2016, International Journal of SurgeryHospital preference of laparoscopic versus open appendectomy: Effects on outcomes in simple and complicated appendicitis
2016, Journal of Pediatric SurgeryCitation Excerpt :Consensus regarding the treatment of choice in children with acute appendicitis however, is yet to be achieved [1,5,6]. For the adult population, LA has become widely accepted over OA owing to several observed advantages, including shorter hospital stays [7–18], wound complications [17,19], and surgical site infections (SSIs) [9,12,17,18,20–22]. Certain disadvantages of LA have been reported as well, including a tendency for higher charges and/or cost of hospitalization [5,11,12,19,23–25] and prolonged operative times compared to OA [8,9,12,14,15,17,19,20,23,24,26].
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