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Is laparoscopic appendectomy going to be standard procedure for acute appendicitis; a 5-year single center experience with 1,788 patients

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

Purpose

To evaluate whether laparoscopic appendectomy can be the gold standard for acute appendicitis regarding the applicability and cost effectivity.

Materials and methods

The study included patients who were operated by laparoscopically for acute appendicitis between January 2008 and September 2012. Patients’ sex, ages, hospitalization time, the type for closure of the appendiceal stump, complication rate, surgery time and other parameters were recorded.

Results

1,788 patients with acute appendicitis on laparoscopic evaluation constituted the study population. Average age of the patient group was 30.1 ± 2.3 years old. Average hospitalization time was 1.2 ± 1.1 days. Metal clips were used in 1,100 (61.5 %) patients, intracorporeal knotting was performed in the remaining. Total complication rate was 3.8 %.

Conclusion

By the using of metal clips and increased experience; laparoscopy may be gold standard for acute appendicitis.

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References

  1. Cai YL, Xiong XZ, Wu SJ, Cheng Y, Lu J, Zhang J, Lin YX, Cheng NS. Single-incision laparoscopic appendectomy vs conventional laparoscopic appendectomy: systematic review and meta-analysis. World J Gastroenterol. 2013;19:5165–73.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Semm K. Endoscopic appendectomy. Endoscopy. 1983;15:59–64.

    Article  CAS  PubMed  Google Scholar 

  3. Rashid A, Nazir S, Kakroo SM, Chalkoo MA, Razvi SA, Wani AA. Laparoscopic interval appendectomy versus open interval appendectomy: a prospective randomized controlled trial. Surg Laparosc Endosc Percutan Tech. 2013;23:93–6.

    Article  PubMed  Google Scholar 

  4. Yaghoubian A, Kaji AH, Lee SL. Laparoscopic versus open appendectomy: outcomes analysis. Am Surg. 2012;78:1083–6.

    PubMed  Google Scholar 

  5. Bennett J, Boddy A, Rhodes M. Choice of approach for appendicectomy: a meta-analysis of open versus laparoscopic appendicectomy. Surg Laparosc Endosc Percutan Tech. 2007;17:245–55.

    Article  PubMed  Google Scholar 

  6. Ortega AE, Hunter JG, Peters JH, et al. A prospective, randomized comparison of laparoscopic appendectomy with open appendectomy. Laparoscopic Appendectomy Study Group. Am J Surg. 1995;169:208–12.

    Article  CAS  PubMed  Google Scholar 

  7. Kapischke M, Caliebe A, Tepel J, et al. Open versus laparoscopic appendicectomy: a critical review. Surg Endosc. 2006;20:1060–8.

    Article  CAS  PubMed  Google Scholar 

  8. Kwiatkowski A, Pasnik K, Trojanowski P. Late caecal fistula after laparoscopic appendectomy managed mini-invasively - case report. Videosurgery Miniinv. 2011;6:246–8.

    Article  Google Scholar 

  9. Masoomi H, Nguyen NT, Dolich MO, et al. Comparison of laparoscopic versus open appendectomy for acute nonperforated and perforated appendicitis in the obese population. Am J Surg. 2011;202:733–8.

    Article  PubMed  Google Scholar 

  10. Kapan S, Bozkurt MA, Turhan AN, Gönenç M, Alış H. Management of acute appendicitis in pregnancy. Ulus Travma Acil Cerrahi Derg. 2013;19:20–4.

    Article  PubMed  Google Scholar 

  11. Beldi G, Muggli K, Helbling C, et al. Laparoscopic appendectomy using endoloops: a prospective, randomized clinical trial. Surg Endosc. 2004;18:749–50.

    Article  CAS  PubMed  Google Scholar 

  12. Kazemier G, In’t Hof KH, Saad S, et al. Securing the appendiceal stump in laparoscopic appendectomy: evidence for routine stapling? Surg Endosc. 2006;20:1473–6.

    Article  CAS  PubMed  Google Scholar 

  13. Alıs H, Gönenc M, Deniztas C, Kapan S, Turhan AN. Metal endoclips for the closure of the appendiceal stump in laparoscopic appendectomy. Tech Coloproctol. 2012;16:139–41.

    Article  PubMed  Google Scholar 

  14. Yaghoubian A, Kaji AH, Lee SL. Laparoscopic versus open appendectomy: outcomes analysis. Am Surg. 2012;78:1083–6.

    PubMed  Google Scholar 

  15. Batajoo H, Hazra NK. Laparoscopic versus open appendectomy in acute appendicitis. J Nepal Health Res Counc. 2012;10:239–42.

    CAS  PubMed  Google Scholar 

  16. Ohtani H, Tamamori Y, Arimoto Y, Nishiguchi Y, Maeda K, Hirakawa K. Meta-analysis of the results of randomized controlled trials that compared laparoscopic and open surgery for acute appendicitis. J Gastrointest Surg. 2012;16:1929–39.

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

Mehmet Abdussamet Bozkurt, Mustafa Gökhan Ünsal, Selin Kapan, Murat Gönenç, Mahmut Doğan, Mustafa Uygar Kalaycı, and Halil Alış declare that they have no conflict of interest.

Compliance with ethics guidelines

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki declaration of 1975, as revised in 2008 (5). Informed consent was obtained from all patients for being included in the study.

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Authors and Affiliations

  1. General Surgery Department, Dr. Sadi Konuk Training and Research Hospital, Bakırköy, Istanbul, Turkey

    M. A. Bozkurt, M. G. Unsal, S. Kapan, M. Gonenc, M. Dogan, M. U. Kalayci & H. Alis

Authors
  1. M. A. Bozkurt
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  2. M. G. Unsal
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  3. S. Kapan
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  4. M. Gonenc
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  5. M. Dogan
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  6. M. U. Kalayci
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  7. H. Alis
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Corresponding author

Correspondence to M. A. Bozkurt.

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Bozkurt, M.A., Unsal, M.G., Kapan, S. et al. Is laparoscopic appendectomy going to be standard procedure for acute appendicitis; a 5-year single center experience with 1,788 patients. Eur J Trauma Emerg Surg 41, 87–89 (2015). https://doi.org/10.1007/s00068-014-0411-x

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  • DOI: https://doi.org/10.1007/s00068-014-0411-x

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