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Comparison of clinical outcome of laparoscopic versus open appendectomy, single center experience
INTRODUCTION: Laparoscopic appendectomy (LA) is now a treatment of choice in patients with appendicitis. This study compares the treatment outcomes of LA and open appendectomies (OA) in our department. PATIENTS AND METHODS: From January 2006 to April 2016 a total of 185 patients underwent appendecto...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5986549/ https://www.ncbi.nlm.nih.gov/pubmed/29872767 http://dx.doi.org/10.1016/j.heliyon.2018.e00635 |
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author | Shimoda, Mitsugi Maruyama, Tsunehiko Nishida, Kiyotaka Suzuki, Kazuomi Tago, Tomoya Shimazaki, Jiro Suzuki, Shuji |
author_facet | Shimoda, Mitsugi Maruyama, Tsunehiko Nishida, Kiyotaka Suzuki, Kazuomi Tago, Tomoya Shimazaki, Jiro Suzuki, Shuji |
author_sort | Shimoda, Mitsugi |
collection | PubMed |
description | INTRODUCTION: Laparoscopic appendectomy (LA) is now a treatment of choice in patients with appendicitis. This study compares the treatment outcomes of LA and open appendectomies (OA) in our department. PATIENTS AND METHODS: From January 2006 to April 2016 a total of 185 patients underwent appendectomy at our institution. We divided the patients into two groups; LA group (LAG) and OA group (OAG). Following parameters were analyzed: age, gender, preoperative clinicolaboratory characteristics, operative factors, interval appendectomy, length of hospital stay (LHS), and surgical site infections (SSI). RESULTS: There were 93 patients in LA G and 92 in OAG. According to the Univariate analysis, there were statistically significant differences among age (p = 0.037), LHS (p = 0.0001), duration till resuming oral intake (p = 0.016), blood loss (p = 0.038), SSI ratio (p = 0.044) and CRP level (p = 0.038) between the LAG and the OAG. According to the Multivariate analysis, blood loss (p = 0.038) and LHS (p = 0.023) were significantly different between both groups. CONCLUSION: LA was decreasing blood loss and LHS. |
format | Online Article Text |
id | pubmed-5986549 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-59865492018-06-05 Comparison of clinical outcome of laparoscopic versus open appendectomy, single center experience Shimoda, Mitsugi Maruyama, Tsunehiko Nishida, Kiyotaka Suzuki, Kazuomi Tago, Tomoya Shimazaki, Jiro Suzuki, Shuji Heliyon Article INTRODUCTION: Laparoscopic appendectomy (LA) is now a treatment of choice in patients with appendicitis. This study compares the treatment outcomes of LA and open appendectomies (OA) in our department. PATIENTS AND METHODS: From January 2006 to April 2016 a total of 185 patients underwent appendectomy at our institution. We divided the patients into two groups; LA group (LAG) and OA group (OAG). Following parameters were analyzed: age, gender, preoperative clinicolaboratory characteristics, operative factors, interval appendectomy, length of hospital stay (LHS), and surgical site infections (SSI). RESULTS: There were 93 patients in LA G and 92 in OAG. According to the Univariate analysis, there were statistically significant differences among age (p = 0.037), LHS (p = 0.0001), duration till resuming oral intake (p = 0.016), blood loss (p = 0.038), SSI ratio (p = 0.044) and CRP level (p = 0.038) between the LAG and the OAG. According to the Multivariate analysis, blood loss (p = 0.038) and LHS (p = 0.023) were significantly different between both groups. CONCLUSION: LA was decreasing blood loss and LHS. Elsevier 2018-05-24 /pmc/articles/PMC5986549/ /pubmed/29872767 http://dx.doi.org/10.1016/j.heliyon.2018.e00635 Text en © 2018 The Authors. Published by Elsevier Ltd. http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Shimoda, Mitsugi Maruyama, Tsunehiko Nishida, Kiyotaka Suzuki, Kazuomi Tago, Tomoya Shimazaki, Jiro Suzuki, Shuji Comparison of clinical outcome of laparoscopic versus open appendectomy, single center experience |
title | Comparison of clinical outcome of laparoscopic versus open appendectomy, single center experience |
title_full | Comparison of clinical outcome of laparoscopic versus open appendectomy, single center experience |
title_fullStr | Comparison of clinical outcome of laparoscopic versus open appendectomy, single center experience |
title_full_unstemmed | Comparison of clinical outcome of laparoscopic versus open appendectomy, single center experience |
title_short | Comparison of clinical outcome of laparoscopic versus open appendectomy, single center experience |
title_sort | comparison of clinical outcome of laparoscopic versus open appendectomy, single center experience |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5986549/ https://www.ncbi.nlm.nih.gov/pubmed/29872767 http://dx.doi.org/10.1016/j.heliyon.2018.e00635 |
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