Laparoscopy in the Contemporary Management of Acute Appendicitis

Akpofure Peter Ekeh; Curtis J. Wozniak; Benjamin Monson; Joseph Crawford; Mary C. McCarthy

doi:10.1016/j.amjsurg.2006.09.025

Laparoscopy in the Contemporary Management of Acute Appendicitis

Akpofure Peter Ekeh, Curtis J. Wozniak, Benjamin Monson, Joseph Crawford, Mary C. McCarthy

Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

<p> <h4 id="x-x-x-x-x-x-x-x-absSec_1"> Background </h4> <p id="x-x-x-x-x-x-x-x-simple-para0030"> We sought to compare laparoscopic appendectomy (LA) with open appendectomy (OA) focusing on the negative appendectomy rate (NAR), emergency department (ED) to operating room (OR) time, procedure length, and histopathological correlation. <h4 id="x-x-x-x-x-x-x-x-absSec_2"> Methods </h4> <p id="x-x-x-x-x-x-x-x-simple-para0035"> All appendectomies for appendicitis over a 6-year period at a single hospital were reviewed. Open and laparoscopic procedures were compared. <h4 id="x-x-x-x-x-x-x-x-absSec_3"> Results </h4> <p id="x-x-x-x-x-x-x-x-simple-para0040"> There were 1,312 appendectomies (54.6% OA and 45.4% LA) Mean ED to OR time was as follows: LA 10.8 hours (standard deviation [SD] ± 9.0) versus 9.8 hours (SD ± 8.5) OA ( <em> P </em> = .0333). Mean OR time was 61.2 minutes (SD ± 29.1) LA versus 57.7minutes (SD ± 28) OA ( <em> P </em> = .0293). NAR was 18.3%, LA 23.3% versus14.0% OA ( <em> P </em> < .0001). Postoperative correlation with histopathology was 86% for LA versus 92% OA ( <em> P </em> = .0003). In the LA group, 9.9% with a “normal” appendix had appendicitis by histopathology. <h4 id="x-x-x-x-x-x-x-x-absSec_4"> Conclusions </h4> <p id="x-x-x-x-x-x-x-x-simple-para0045"> LA is associated with increased presentation to procedure time, operative time, and negative appendectomy rate. Removing a “normal” appendix during LA in the absence of alternate pathology is recommended. </p> </p> </p> </p></p>

Original language	American English
Journal	The American Journal of Surgery
Volume	193
DOIs	https://doi.org/10.1016/j.amjsurg.2006.09.025
State	Published - Mar 1 2007

Keywords

Laparoscopic Appendectomy
Open Appendectomy
Negative Appendectomy Rates
Normal Appendix

Disciplines

Medical Specialties
Medicine and Health Sciences
Surgery

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10.1016/j.amjsurg.2006.09.025License: CC BY

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@article{80d54f56b04b4fbca9aefa114729baa7,

title = "Laparoscopy in the Contemporary Management of Acute Appendicitis",

abstract = " Background We sought to compare laparoscopic appendectomy (LA) with open appendectomy (OA) focusing on the negative appendectomy rate (NAR), emergency department (ED) to operating room (OR) time, procedure length, and histopathological correlation. Methods All appendectomies for appendicitis over a 6-year period at a single hospital were reviewed. Open and laparoscopic procedures were compared. Results There were 1,312 appendectomies (54.6% OA and 45.4% LA) Mean ED to OR time was as follows: LA 10.8 hours (standard deviation [SD] ± 9.0) versus 9.8 hours (SD ± 8.5) OA ( P = .0333). Mean OR time was 61.2 minutes (SD ± 29.1) LA versus 57.7minutes (SD ± 28) OA ( P = .0293). NAR was 18.3%, LA 23.3% versus14.0% OA ( P < .0001). Postoperative correlation with histopathology was 86% for LA versus 92% OA ( P = .0003). In the LA group, 9.9% with a “normal” appendix had appendicitis by histopathology. Conclusions LA is associated with increased presentation to procedure time, operative time, and negative appendectomy rate. Removing a “normal” appendix during LA in the absence of alternate pathology is recommended. ",

keywords = "Laparoscopic Appendectomy, Open Appendectomy, Negative Appendectomy Rates, Normal Appendix",

author = "Ekeh, {Akpofure Peter} and Wozniak, {Curtis J.} and Benjamin Monson and Joseph Crawford and McCarthy, {Mary C.}",

year = "2007",

month = mar,

day = "1",

doi = "10.1016/j.amjsurg.2006.09.025",

language = "American English",

volume = "193",

journal = "The American Journal of Surgery",

}

TY - JOUR

T1 - Laparoscopy in the Contemporary Management of Acute Appendicitis

AU - Ekeh, Akpofure Peter

AU - Wozniak, Curtis J.

AU - Monson, Benjamin

AU - Crawford, Joseph

AU - McCarthy, Mary C.

PY - 2007/3/1

Y1 - 2007/3/1

N2 - Background We sought to compare laparoscopic appendectomy (LA) with open appendectomy (OA) focusing on the negative appendectomy rate (NAR), emergency department (ED) to operating room (OR) time, procedure length, and histopathological correlation. Methods All appendectomies for appendicitis over a 6-year period at a single hospital were reviewed. Open and laparoscopic procedures were compared. Results There were 1,312 appendectomies (54.6% OA and 45.4% LA) Mean ED to OR time was as follows: LA 10.8 hours (standard deviation [SD] ± 9.0) versus 9.8 hours (SD ± 8.5) OA ( P = .0333). Mean OR time was 61.2 minutes (SD ± 29.1) LA versus 57.7minutes (SD ± 28) OA ( P = .0293). NAR was 18.3%, LA 23.3% versus14.0% OA ( P < .0001). Postoperative correlation with histopathology was 86% for LA versus 92% OA ( P = .0003). In the LA group, 9.9% with a “normal” appendix had appendicitis by histopathology. Conclusions LA is associated with increased presentation to procedure time, operative time, and negative appendectomy rate. Removing a “normal” appendix during LA in the absence of alternate pathology is recommended.

AB - Background We sought to compare laparoscopic appendectomy (LA) with open appendectomy (OA) focusing on the negative appendectomy rate (NAR), emergency department (ED) to operating room (OR) time, procedure length, and histopathological correlation. Methods All appendectomies for appendicitis over a 6-year period at a single hospital were reviewed. Open and laparoscopic procedures were compared. Results There were 1,312 appendectomies (54.6% OA and 45.4% LA) Mean ED to OR time was as follows: LA 10.8 hours (standard deviation [SD] ± 9.0) versus 9.8 hours (SD ± 8.5) OA ( P = .0333). Mean OR time was 61.2 minutes (SD ± 29.1) LA versus 57.7minutes (SD ± 28) OA ( P = .0293). NAR was 18.3%, LA 23.3% versus14.0% OA ( P < .0001). Postoperative correlation with histopathology was 86% for LA versus 92% OA ( P = .0003). In the LA group, 9.9% with a “normal” appendix had appendicitis by histopathology. Conclusions LA is associated with increased presentation to procedure time, operative time, and negative appendectomy rate. Removing a “normal” appendix during LA in the absence of alternate pathology is recommended.

KW - Laparoscopic Appendectomy

KW - Open Appendectomy

KW - Negative Appendectomy Rates

KW - Normal Appendix

UR - https://corescholar.libraries.wright.edu/surg/12

U2 - 10.1016/j.amjsurg.2006.09.025

DO - 10.1016/j.amjsurg.2006.09.025

M3 - Article

C2 - 17320525

VL - 193

JO - The American Journal of Surgery

JF - The American Journal of Surgery

ER -

Laparoscopy in the Contemporary Management of Acute Appendicitis

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