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Outcome and quality of life in obese patients underwent laparoscopic vs. open appendectomy

BACKGROUND: Although obesity is a popular reason for choosing laparoscopic appendectomy (LA) versus open appendectomy (OA), however, the question of whether there is a difference remains. Our goal is to investigate if there is a difference between OA and LA in obese patients. METHODS: Fifty-eight ob...

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Autores principales: Hussein, Ahmed H., El-Baaly, Abdullah, Ghareeb, Waleed M., Madbouly, Khaled, Gabr, Haitham
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9308293/
https://www.ncbi.nlm.nih.gov/pubmed/35870908
http://dx.doi.org/10.1186/s12893-022-01732-7
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author Hussein, Ahmed H.
El-Baaly, Abdullah
Ghareeb, Waleed M.
Madbouly, Khaled
Gabr, Haitham
author_facet Hussein, Ahmed H.
El-Baaly, Abdullah
Ghareeb, Waleed M.
Madbouly, Khaled
Gabr, Haitham
author_sort Hussein, Ahmed H.
collection PubMed
description BACKGROUND: Although obesity is a popular reason for choosing laparoscopic appendectomy (LA) versus open appendectomy (OA), however, the question of whether there is a difference remains. Our goal is to investigate if there is a difference between OA and LA in obese patients. METHODS: Fifty-eight obese patients diagnosed with acute appendicitis according to ALVARDO score at department of surgery at Suez Canal university hospitals from March 2020 till August 2021 were included. The study participants were assigned in two groups LA and OA. This study aimed to comparing between LA and OA regarding intraoperative complications, length of hospital stays, post -operative pain, and rate of post-operative complications. Meanwhile, using SF-36 scoring questionnaire, the quality of life was compared between both groups. RESULTS: A total of 58 patients were included in the present study (LG = 29 patients and OG = 29 patients). The early post-operative complications (within 30 days after surgery) were significantly lower in the LA group (5 patients out of 29) than the OA (11 patients out of 29). Additionally, lower incidence of complications was noticed in the LA group (2 out of 29 patients) compared to OA (6 patients out of 29) beyond 30 days after operation. Patients with laparoscopic surgery had statistically significant higher overall quality of life scores (SF-36) (72 ± 32) compared to open surgery patients (66 ± 35) 2 weeks after operation. CONCLUSION: The laparoscopic procedure was associated with lower incidence of post operative complications. However, open appendectomy was superior for a shorter operative time. Laparoscopic approach is not only used for therapeutic purposes, but also it has a diagnostic role.
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spelling pubmed-93082932022-07-24 Outcome and quality of life in obese patients underwent laparoscopic vs. open appendectomy Hussein, Ahmed H. El-Baaly, Abdullah Ghareeb, Waleed M. Madbouly, Khaled Gabr, Haitham BMC Surg Research BACKGROUND: Although obesity is a popular reason for choosing laparoscopic appendectomy (LA) versus open appendectomy (OA), however, the question of whether there is a difference remains. Our goal is to investigate if there is a difference between OA and LA in obese patients. METHODS: Fifty-eight obese patients diagnosed with acute appendicitis according to ALVARDO score at department of surgery at Suez Canal university hospitals from March 2020 till August 2021 were included. The study participants were assigned in two groups LA and OA. This study aimed to comparing between LA and OA regarding intraoperative complications, length of hospital stays, post -operative pain, and rate of post-operative complications. Meanwhile, using SF-36 scoring questionnaire, the quality of life was compared between both groups. RESULTS: A total of 58 patients were included in the present study (LG = 29 patients and OG = 29 patients). The early post-operative complications (within 30 days after surgery) were significantly lower in the LA group (5 patients out of 29) than the OA (11 patients out of 29). Additionally, lower incidence of complications was noticed in the LA group (2 out of 29 patients) compared to OA (6 patients out of 29) beyond 30 days after operation. Patients with laparoscopic surgery had statistically significant higher overall quality of life scores (SF-36) (72 ± 32) compared to open surgery patients (66 ± 35) 2 weeks after operation. CONCLUSION: The laparoscopic procedure was associated with lower incidence of post operative complications. However, open appendectomy was superior for a shorter operative time. Laparoscopic approach is not only used for therapeutic purposes, but also it has a diagnostic role. BioMed Central 2022-07-23 /pmc/articles/PMC9308293/ /pubmed/35870908 http://dx.doi.org/10.1186/s12893-022-01732-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Hussein, Ahmed H.
El-Baaly, Abdullah
Ghareeb, Waleed M.
Madbouly, Khaled
Gabr, Haitham
Outcome and quality of life in obese patients underwent laparoscopic vs. open appendectomy
title Outcome and quality of life in obese patients underwent laparoscopic vs. open appendectomy
title_full Outcome and quality of life in obese patients underwent laparoscopic vs. open appendectomy
title_fullStr Outcome and quality of life in obese patients underwent laparoscopic vs. open appendectomy
title_full_unstemmed Outcome and quality of life in obese patients underwent laparoscopic vs. open appendectomy
title_short Outcome and quality of life in obese patients underwent laparoscopic vs. open appendectomy
title_sort outcome and quality of life in obese patients underwent laparoscopic vs. open appendectomy
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9308293/
https://www.ncbi.nlm.nih.gov/pubmed/35870908
http://dx.doi.org/10.1186/s12893-022-01732-7
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