Laparoscopic versus open appendectomy: Prospective randomized trial

Hansen, John Brendan, Smithers, Bernard Mark, Schache, David, Wall, Daryl Robert, Miller, Brian John and Menzies, Betty Lynette (1996) Laparoscopic versus open appendectomy: Prospective randomized trial. World Journal of Surgery, 20 1: 17-21. doi:10.1007/s002689900003

Author Hansen, John Brendan
Smithers, Bernard Mark
Schache, David
Wall, Daryl Robert
Miller, Brian John
Menzies, Betty Lynette
Title Laparoscopic versus open appendectomy: Prospective randomized trial
Journal name World Journal of Surgery   Check publisher's open access policy
ISSN 0364-2313
Publication date 1996-01
Sub-type Article (original research)
DOI 10.1007/s002689900003
Volume 20
Issue 1
Start page 17
End page 21
Total pages 5
Place of publication Secaucus, NJ, United States
Publisher Springer
Language eng
Formatted abstract
n = 79) or an open appendectomy ( n = 72) showed no difference in sex, age, American Society of Anesthesiology (ASA) rating, or previous abdominal surgery. The histologic classification of normal, catarrhal, inflamed, suppurative, and gangrenous appendicitis was not different between the two groups. Conversion from laparoscopic to open appendectomy was necessary in seven patients (9%) who had advanced forms of appendiceal inflammation. When compared to open appendectomy the laparoscopic group had a longer median operating time (63 minutes versus 40 minutes), fewer wound infections (2% versus 11%), less requirement for narcotic analgesia, and an earlier return to normal activity (median 7 days versus 14 days). There was no difference in morbidity, and both groups had a median time to discharge of 3 days. Laparoscopic appendectomy is as safe as open appendectomy; and despite the longer operating time, the advantages such as fewer wound infections and earlier return to normal activity make it a worthwhile alternative for patients with a clinical diagnosis of acute appendicitis.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 155 times in Thomson Reuters Web of Science Article | Citations
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Created: Mon, 18 Oct 2010, 09:16:26 EST