Laparoscopic vs open appendectomy in acute appendicitis - a randomized prospective study

被引:54
作者
Olmi, S [1 ]
Magnone, S [1 ]
Bertolini, A [1 ]
Croce, E [1 ]
机构
[1] Osped Gerardo, Dept Gen Surg 2, Ctr Minimally Invas Surg, I-20052 Monza, MI, Italy
来源
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2005年 / 19卷 / 09期
关键词
laparoscopy; appendectomy; laparoscopic appendectomy; acute appendicitis;
D O I
10.1007/s00464-004-2165-8
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Laparoscopic appendectomy is a safe and effective procedure, as both a diagnostic and therapeutic tool. It seems to be more effective than the corresponding open procedure. Aim of this study is to evaluate a group of patients randomly allocated either to laparoscopic appendectomy (LA) or to open appendectomy (OA). Methods: From January 1998 to December 2002, 252 consecutive and nonselected patients, 155 women and 97 men, were randomized either to LA or OA. Recorded data were operative time, postoperative length, of stay and complications. Results: Mean operative time was 45 min (range 30-120) for OA and 36 min (25-60) for LA, mean postoperative stay was 5.5 days (4-12) for OA and 3.4 days (2-8) for LA. Complication occurred in 20 patients (14.5%) for OA and in four patients (2.6%) for LA. Conclusions: We believe that LA is effective in any kind of clinical situation, with low traumatic impact and best comfort for the patient.
引用
收藏
页码:1193 / 1195
页数:3
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