Parental satisfaction with same-day discharge after laparoscopic appendectomy for uncomplicated appendicitis

Abstract Background Over the last years, laparoscopic appendectomy has progressively replaced open appendectomy and become the current gold standard treatment for suspected, uncomplicated appendicitis. At the same time, though, it is an ongoing discussion that antibiotic therapy can be an equivalent treatment for patients with uncomplicated appendicitis. The aim of this systematic review was to determine the safety and efficacy of antibiotic therapy and compare it to the laparoscopic appendectomy for acute, uncomplicated appendicitis. Methods The PubMed database, Embase database, and Cochrane library were scanned for studies comparing laparoscopic appendectomy with antibiotic treatment. Two independent reviewers performed the study selection and data extraction. The primary endpoint was defined as successful treatment of appendicitis. Secondary endpoints were pain intensity, duration of hospitalization, absence from work, and incidence of complications. Results No studies were found that exclusively compared laparoscopic appendectomy with antibiotic treatment for acute, uncomplicated appendicitis. Conclusions To date, there are no studies comparing antibiotic treatment to laparoscopic appendectomy for patients with acute uncomplicated appendicitis, thus emphasizing the lack of evidence and need for further investigation.

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Same-day discharge after laparoscopic appendectomy for non-perforated appendicitis is safe and cost effective

Pediatric Surgery International ◽

10.1007/s00383-021-04880-8 ◽

2021 ◽

Author(s):

Meghana V. Kashyap ◽

Brianne Reisen ◽

Matthew A. Hornick ◽

Gary W. Nace ◽

Pablo Laje

Keyword(s):

Laparoscopic Appendectomy ◽

Perforated Appendicitis ◽

Cost Effective ◽

Same Day Discharge

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Facilitating factors in same-day discharge after pediatric laparoscopic appendectomy

Journal of Surgical Research ◽

10.1016/j.jss.2018.03.072 ◽

2018 ◽

Vol 229 ◽

pp. 145-149 ◽

Cited By ~ 6

Author(s):

Olivia Cheng ◽

Linda Cheng ◽

Sathyaprasad Burjonrappa

Keyword(s):

Laparoscopic Appendectomy ◽

Facilitating Factors ◽

Same Day Discharge

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The effectiveness and appropriateness of Interval Laparoscopic Appendectomy on adult appendiceal mass, a retrospective cohort

10.21203/rs.2.14168/v1 ◽

2019 ◽

Author(s):

Shiro Fujihata ◽

Hidehiko Kitagami ◽

Yosuke Kitayama ◽

Ayumi Suzuki ◽

Moritsugu Tanaka ◽

...

Keyword(s):

Surgical Treatment ◽

Laparoscopic Appendectomy ◽

Perioperative Complications ◽

Oral Intake ◽

Operation Time ◽

Appendiceal Mass ◽

Uncomplicated Appendicitis ◽

Objective Parameter ◽

Significant Difference ◽

Non Surgical Treatment

Abstract Background: Appendiceal mass sometimes requires extended resection and difficult to treat postoperative complications. Interval appendectomy has been performed mainly in the field of pediatric surgery to avoid them. Recently, there are a few reports on interval laparoscopic appendectomy (ILA). We examined not only the safety and effectiveness of ILA for adult appendiceal mass (AAM), but also the appropriateness of ILA for which cases should be treated non-surgically for ILA or converted to surgical treatment. Methods: Among 956 appendectomies performed between April 2012 and March 2018, there were 49 cases of AAM, of which 34 cases underwent ILA; ILA group. The safety and efficacy of ILA were examined by comparing with 477 cases of adult uncomplicated appendicitis underwent laparoscopic appendectomy (LA); LA group. The appropriateness of ILA was examined by comparing with the remaining 15 cases of AAM; non-ILA group. Results: The ILA group had a longer operation time than the LA group, but the postoperative hospital stay was shorter, and no significant difference were found in the bleeding volume, the days required for oral intake of solid food, and the perioperative complications. Examining the factors for failure of non-surgical treatment or relapse of inflammation during interval period, higher WBC day3 / day0 was found to be an independent risk factor. Conclusion: ILA against AAM was almost as safe and effective as LA for adult uncomplicated appendicitis. WBC day3 / day0 may be effective as an objective parameter for judging the termination of non-surgical treatment for ILA. This determination to convert ineffective non-surgical treatment to surgical treatment earlier may reduce the burden on the patient.

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