Clinical Outcomes and Costs of Laparoscopic Versus Open Appendectomy for Appendicitis
Journal of Surgery
Volume 1, Issue 2, June 2013, Pages: 37-42
Received: Jun. 22, 2013; Published: Jul. 10, 2013
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Authors
Chang Sik Shin, Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, 170, Juhwaro, Ilsanseogu, Goyangsi, Gyeonggido, Republic of Korea
Jae Il Kim, Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, 170, Juhwaro, Ilsanseogu, Goyangsi, Gyeonggido, Republic of Korea
Young Nam Roh, Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, 170, Juhwaro, Ilsanseogu, Goyangsi, Gyeonggido, Republic of Korea
Pyong Wha Choi, Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, 170, Juhwaro, Ilsanseogu, Goyangsi, Gyeonggido, Republic of Korea
Tae Gil Heo, Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, 170, Juhwaro, Ilsanseogu, Goyangsi, Gyeonggido, Republic of Korea
Je Hoon Park, Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, 170, Juhwaro, Ilsanseogu, Goyangsi, Gyeonggido, Republic of Korea
Myung Soo Lee, Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, 170, Juhwaro, Ilsanseogu, Goyangsi, Gyeonggido, Republic of Korea
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Abstract
Purpose: The aim of this study was to compare clinical outcomes between open appendectomy (OA) and laparoscopic appendectomy (LA) for both uncomplicated appendicitis (UA) and complicated appendicitis (CA) and to help to choose the appropriate procedure for its management. Methods: The medical records of patients who underwent OA (OA group) or LA (LA group) for UA or CA between January 1, 2010 and December 31, 2011, were retrospectively reviewed. Results: For UA, time to a soft diet (1.5±0.7 in OA versus 1.4±0.7 days in LA, p=0.0010) and the length of hospital stay (3.9±1.5 in OA versus 3.3±1.4 days in LA, p<0.0001) were significantly shorter in the LA group. The length of hospital stay for CA was significantly shorter in the LA group than in the OA group (7.5±3.8 versus 4.9±2.8 days, p=0.0012). Complication rates were not significantly different between the LA and OA groups for both UA and CA. Conclusions: We conclude that for CA, clinical outcomes were better in the LA than in the OA group. For UA, there were no significant advantages of LA considering expensive hospital costs. The results of this study suggest that LA is the procedure of choice for patients with complicated appendicitis.
Keywords
Appendicitis, Appendectomy, Complication, Laparoscopy
To cite this article
Chang Sik Shin, Jae Il Kim, Young Nam Roh, Pyong Wha Choi, Tae Gil Heo, Je Hoon Park, Myung Soo Lee, Clinical Outcomes and Costs of Laparoscopic Versus Open Appendectomy for Appendicitis, Journal of Surgery. Vol. 1, No. 2, 2013, pp. 37-42. doi: 10.11648/j.js.20130102.17
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