scholarly journals ANALYSIS AND EVALUATION OF ADVANTAGES FROM LAPAROSCOPIC APPENDECTOMY

2022 ◽  
Vol 28 (1) ◽  
pp. 4183-4185
Author(s):  
Konstantin Kostov ◽  
Keyword(s):  
Postoperative Complications ◽  
Hospital Stay ◽  
Laparoscopic Appendectomy ◽  
Laparoscopic Approach ◽  
Length Of Hospital Stay ◽  
Analysis And Evaluation ◽  
Early Return ◽  
Post Operative Pain ◽  
Male Patients ◽  
Concomitant Factors

Purpose: The aim of the study is to evaluate the advantages of laparoscopic appendectomy fromour clinical experience in UMHATEM "Pirogov" which resulted in reduced postoperative complications, pain, length of hospital stay, and early return to work. Material and Methods: Data from a study of a patient group in the Department of General, Visceral and Emergency Surgery of UMBALSM "H. I. Pirogov "for the six-month period (01.01.2019 до 01.07.2019) were collected.Eighty-one patients with acute appendicitis who underwent laparoscopic appendectomy were selected. Indicators characterizing basic clinical and pathological features (epidemiology, demography, degree of pathological impairment), surgical approach and its outcomes (postoperative complications, postoperative duration), influence of concomitant factors were studied. Results: The study included 81 patients. The majority of patients were women - 46 (56.79%), men- 35 (43.21%). The mean age of male patients was 31.4 years and for female-28.6 years respectively. Hospitalization times are usually short - most patients are given up to 72 hours (70- 86.42%). Only eleven patients (13.58%) had an extended hospital stay for observation and additional therapy. Conclusion: Laparoscopic appendectomy was verified as an optimal and safe surgical procedure. Laparoscopic approach reduces post-operative pain, shortens hospital stay, reduces complications, and thereby reducing treatment costs.

scholarly journals A retrospective comparative study of laparoscopic appendectomy and open appendectomy

2018 ◽  
Vol 5 (7) ◽  
pp. 2612
Author(s):  
R. V. Bhosle ◽  
Ganesh Ganpatrao Degloorker
Keyword(s):  
Postoperative Complications ◽  
Laparoscopic Appendectomy ◽  
Demographic Data ◽  
Open Appendectomy ◽  
Laparoscopic Approach ◽  
Length Of Hospital Stay ◽  
Normal Activity ◽  
Standard Data ◽  
Early Return ◽  
Hospitalization Period

Background: Appendectomy is the most common surgical procedure performed in emergency surgery. Appendectomy is the treatment of choice, which can be done either by open or laparoscopic approach. Controversies till exist as to which is the better choice among the two surgical procedures for treating appendicitis. In this retrospective analysis, we aimed to compare outcomes of laparoscopic appendectomy with open appendectomy.Methods: Total 120 appendectomy cases were analyzed retrospectively in a period of 2 years. The study was conducted in the department of surgery and Institutional ethical committee approval was obtained. Patient demographic data, intraoperative findings and postoperative clinical outcomes were collected standard data sheet. Biopsy specimens were sent to pathology department for histopathological evaluation to confirm the appendicitis.Results: There was no statistical difference found in demographic data of patient’s undergone appendectomy in both (OA and LA) procedures. The overall incidences of postoperative complications were significantly lower (P=.005) in laparoscopic appendectomy. The length of hospital stay was much shorter in laparoscopic appendectomy (3.5 days) when compared with open appendectomy (6.2 days).Conclusions: The laparoscopic appendectomy was better than open or conventional appendectomy with respect to less pain, shorter hospitalization period, minimal postoperative complications and early return to normal activity.

scholarly journals A retrospective study on laparoscopic appendectomy versus open appendectomy

2019 ◽  
Vol 6 (4) ◽  
pp. 1144
Author(s):  
P. Senthil Kumar ◽  
S. Edwin Kin’s Raj ◽  
Saranya Nagalingam
Keyword(s):  
Retrospective Study ◽  
Acute Appendicitis ◽  
Hospital Stay ◽  
Laparoscopic Appendectomy ◽  
Operative Time ◽  
Open Appendectomy ◽  
Laparoscopic Approach ◽  
Laparoscopic Group ◽  
Daily Activities ◽  
Early Return

Background: Appendectomy is the most common surgical procedure performed in emergency surgery. Open appendectomy is the “gold standard” for the treatment of acute appendicitis. Laparoscopic appendectomy though widely practiced has not gained universal approval. Our aim is to compare the safety and benefits of laparoscopic versus open appendectomy in a retrospective study.Methods: The study was done as a retrospective study among 387 patients diagnosed with appendicitis for a period of 18 months in the Dept of General Surgery. All patients included were 16 years and above and followed up for 3 weeks. In this study, 130 patients diagnosed as acute appendicitis - underwent open appendectomy and 257 patients diagnosed as sub-acute cases of appendicitis - underwent laparoscopic appendectomy. These two groups (open & laparoscopic) were compared for operative time, length of hospital stay, postoperative pain, complication rate, early return to normal activity.Results: Laparoscopic appendectomy was associated with a shorter hospital stay (around 4.5 days), with a less need for analgesia and with an early return to daily activities (around 11.5 days). Operative time was significantly shorter in the open group (35 mins), when compared with laparoscopic group (around 59 mins). Total number of complications was less in the Laparoscopic group with a significantly lower incidence of post-op pain and complications.Conclusions: The laparoscopic approach is a safe and efficient operative procedure and it provides clinically beneficial advantages over open appendectomy (including shorter hospital stay, an early return to daily activities and less post-op complications).

scholarly journals Feasibility of laproscopic appendectomy in appendicities and appendicular perforation

2016 ◽  
Vol 18 (3) ◽  
pp. 13
Author(s):  
RK Sah ◽  
S Bishokarma
Keyword(s):  
Postoperative Complications ◽  
Hospital Stay ◽  
Laparoscopic Appendectomy ◽  
Therapeutic Option ◽  
Operating Time ◽  
Length Of Hospital Stay ◽  
Normal Diet ◽  
Frequent Use ◽  
Duration Of Surgery ◽  
Feasible Option

Introduction: The advent and rapid acceptance of laparoscopic surgery led to the idea of performing laparoscopic  appendectomy (LA). In 1983 Semm, a German gynecologist performed the first LA. More than three decades later, the benefits of LA are still controversial. The objective of this study is to assess the feasibility of laproscopic appendectomy in appendicitis and appendicular perforation.Methods: Thirty five patient undergoing laproscopicappendectomy for appendicitis from 14th feb 2015 to 11th feb 2016 in Grande international hospital were included in the study. Duration of surgery, requirement of analgesia, time to normal diet and regular activity as well as length of hospital stay and postoperative complications were studied.Results: A total of 35 patients underwent laparoscopic appendectomy during the study period.Ten patients have peri-appendicular pus collection of which six patients have perforation. Median duration of surgery was 59±8.64 minutes.  Mean Post operative pain score was  4.71±0.71. Mean intravenous fevastin requirement was 3.31±0.9 gm and intravenous ketorolac  was 94±27mg while oral diclofenac was 731±172.81mg. Postoperative complications were 9%.  Mean time to normal diet resumption was 1.17±0.47 days and time to normal activities was 10.5±2.44 days. Median length of hospital stay was 1.9±0.96 days.Conclusion: Laproscopic appendectomy is a feasible option for appendicitis as well as appendicular perforation. More frequent use of this procedure may lead to reduction in operating time. Continuation of laproscopic appendectomy as a therapeutic option for patients with appendicitisas well as appendicular perforation need evaluation in large study scale.

scholarly journals A prospective randomized comparison of primary outcome between laparoscopic appendectomy and open appendectomy

2017 ◽  
Vol 4 (10) ◽  
pp. 3397
Author(s):  
Shivakumar T ◽  
Ved Prakash Ranjan ◽  
Yamuna V. S. ◽  
Karthik P.
Keyword(s):  
Hospital Stay ◽  
Laparoscopic Appendectomy ◽  
Open Appendectomy ◽  
Length Of Hospital Stay ◽  
Operation Time ◽  
Laparoscopic Group ◽  
Emergency Operation ◽  
Oral Feeding ◽  
Safe Procedure ◽  
Early Return

Background: Open appendectomy is one of the most common surgeries done in an emergency operation theatre even after three decades of introduction of laparoscopic surgeries. The previous studies done on laparoscopic appendectomy produced conflicting recommendations, and the adequacy of sample sizes is generally unknown. We compared primary outcomes after laparoscopic and open appendectomy in a sample of predetermined statistical power.Methods: A pre-study power analysis suggested that 200 randomized patients would yield 80% power to show a mean decrease of 1.3 days hospitalization. One hundred ninety-eight patients with a preoperative diagnosis of acute appendicitis were randomized prospectively to laparoscopic or open appendectomy. The primary outcomes measured were duration of operative time, postoperative pain and analgesia, length of hospital stay and cosmetic advantages.Results: It was found that mean operation time was 33±5.8 minute and 37± 7.5 minute in OA and LA respectively. Duration of post-operative hospital stay was 1.2 days shorter in Laparoscopic group. LA required 1.1 shots of less analgesic than OA. Oral feeding was resumed 21 hours earlier following LA compared to OA. Laparoscpic appendectomy was safely performed in paediatric patient without any adverse effect. We also found that, in female patient, concurrent ovarian cysts, tubal pregnancy and endometriosis can be diagnosed and managed laparoscopically in the same sitting.Conclusions: Present study found that laparoscopic appendectomy is an effective and safe procedure irrespective of age and sex of the patient. LA has added advantage of early return of bowel movement, less post-op hospital stays and less requirement of narcotic analgesic.

scholarly journals A Comparative Analysis of Laparoscopic Appendectomy in Relation to the Open Appendectomy in Children / Uporedna Analiza Laparoskopske Apendektomije U Odnosu Na Otvorenu Apendektomiju Kod Dece

2016 ◽  
Vol 17 (1) ◽  
pp. 49-53
Author(s):  
Irena Nikolic Mickovic ◽  
Zoran Golubovic ◽  
Sasa Mickovic ◽  
Dejana Vukovic ◽  
Sanja Trajkovic ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Hospital Stay ◽  
Laparoscopic Appendectomy ◽  
Medical Records ◽  
Acute Inflammation ◽  
Open Appendectomy ◽  
Length Of Hospital Stay ◽  
Surgical Methods ◽  
Significant Difference ◽  
Surgery Duration

Abstract Acute inflammation of the appendix in childhood usually requires an appendectomy. Surgical methods are open appendectomy (OA) and laparoscopic appendectomy (LA). Both have the same goal of removing the appendix. Data collected from the medical records of children who underwent hospitalization and operation for acute appendicitis have been retrospectively analysed and statistically processed. The patients underwent surgery in 2010 at University Children’s Hospital in Belgrade, and the methods that were used were open appendectomy (OA) and laparoscopic appendectomy (LA). The analysed data refer to gender, age, length of hospital stay, surgery duration, use of pain management therapy, and antibiotic therapy, complications during surgery, complications after surgery, re-hospitalizations, and reoperations. A total of 218 children underwent an appendectomy operation, of which 158 (72.5%) underwent OA and 60 (27.5%) underwent LA. The average age of patients who had OA was 11.44 years, and 10.87 years for those who underwent LA. The surgery duration was significantly longer for LA (45.3 vs. 42.1 minutes, p = 0.003). The total number of postoperative complications was lower in LA (1 vs. 12), but there was no statistically significant difference. The number of hospital stay days was significantly lower in LA (3.48 vs. 5.45 days), with a high statistical difference, p = 0.00. The advantages of LA compared with OA are shorter hospital stay, lower total number of intraoperative and postoperative complications, and fewer reoperations. The advantage of OA compared with LA is shorter surgery duration.

scholarly journals Laparoscopic versus open distal pancreatectomy: a single centre propensity score matching analysis

2021 ◽  
Author(s):  
Riccardo Casadei ◽  
Carlo Ingaldi ◽  
Claudio Ricci ◽  
Laura Alberici ◽  
Emilio De Raffele ◽  
...  
Keyword(s):  
Propensity Score ◽  
Hospital Stay ◽  
Distal Pancreatectomy ◽  
Pancreatic Neoplasms ◽  
Postoperative Morbidity ◽  
Laparoscopic Approach ◽  
Length Of Hospital Stay ◽  
Single Centre ◽  
Oncological Outcomes ◽  
Open Distal Pancreatectomy

AbstractThe laparoscopic approach is considered as standard practice in patients with body-tail pancreatic neoplasms. However, only a few randomized controlled trials (RCTs) and propensity score matching (PSM) studies have been performed. Thus, additional studies are needed to obtain more robust evidence. This is a single-centre propensity score-matched study including patients who underwent laparoscopic (LDP) and open distal pancreatectomy (ODP) with splenectomy for pancreatic neoplasms. Demographic, intra, postoperative and oncological data were collected. The primary endpoint was the length of hospital stay. The secondary endpoints included the assessment of the operative findings, postoperative outcomes, oncological outcomes (only in the subset of patients with pancreatic ductal adenocarcinoma-PDAC) and total costs. In total, 205 patients were analysed: 105 (51.2%) undergoing an open approach and 100 (48.8%) a laparoscopic approach. After PSM, two well-balanced groups of 75 patients were analysed and showed a shorter length of hospital stay (P = 0.001), a lower blood loss (P = 0.032), a reduced rate of postoperative morbidity (P < 0.001) and decreased total costs (P = 0.050) after LDP with respect to ODP. Regarding the subset of patients with PDAC, 22 patients were analysed: they showed a significant shorter length of hospital stay (P = 0.050) and a reduction in postoperative morbidity (P < 0.001) after LDP with respect to ODP. Oncological outcomes were similar. LDP showed lower hospital stay and postoperative morbidity rate than ODP both in the entire population and in patients affected by PDAC. Total costs were reduced only in the entire population. Oncological outcomes were comparable in PDAC patients.

EP.FRI.12Meta-analysis of demographic and prognostic significance of right-sided versus left-sided acute diverticulitis

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Shahab Hajibandeh ◽  
Shahin Hajibandeh ◽  
Neil J Smart ◽  
Andrew Maw
Keyword(s):  
Hospital Stay ◽  
Conservative Management ◽  
Emergency Surgery ◽  
Lower Risk ◽  
Length Of Hospital Stay ◽  
Colonic Diverticulitis ◽  
Co Morbidity ◽  
Male Patients ◽  
The Right ◽  
Acute Colonic Diverticulitis

Abstract Aims To compare the demographic and prognostic outcomes of right-sided versus left-sided acute colonic diverticulitis Methods We performed a systematic review in accordance with the PRISMA statement standards to identify all observational studies comparing demographic factors and outcomes of right-sided versus left-sided acute colonic diverticulitis. We used the ROBINS-I tool to assess the risk of bias of included studies. Random effects modelling was applied to calculate pooled outcome data. Results Analysis of 2933 patients from nine studies suggests that right-sided diverticulitis affects younger patients (MD:-14.16,P&lt;0.00001) and more male patients (OR:1.33,P=0.02) compared with left-sided diverticulitis. Smoking (OR:2.23,P&lt;0.0001), alcohol consumption (OR:1.85,P=0.002) and co-morbidity (OR:0.21,P&lt;0.00001) were more common in patients with right-sided diverticulitis. The risk of complicated diverticulitis was lower in the right-sided group (OR:0.21,P=0.001). More patients in the right-sided diverticulitis group had modified Hinchey stage I disease (OR:10.21,P&lt;0.0001) while more patients in the left-sided group had stage II (OR:0.19,P&lt;0.00001), stage III (OR:0.08,P=0.009) or stage IV disease (OR:0.02,P&lt;0.00001). Right-sided diverticulitis was associated with a lower risk of recurrence (OR:0.49,P=0.04), failure of conservative management (OR:0.14,P=0.0006), the need for emergency surgery (OR:0.13,&lt;0.00001) and shorter length of hospital stay (MD:-1.70,P=0.02). Conclusions Right-sided acute colonic diverticulitis predominantly affects younger male patients compared with left-sided disease and is associated with favourable outcomes as indicated by the lower risk of complications, failure of conservative management, need for emergency surgery, recurrence, and shorter length of hospital stay. More studies are required to compare the postoperative outcomes in patients with right-sided and left-sided diverticulitis undergoing emergency surgery.

scholarly journals Postoperative condition of patients as a result of treatment of inguinal hernias by laparoscopic and open methods

2021 ◽  
pp. 30-35
Author(s):  
V.V. Skyba ◽  
◽  
A.V. Ivanko ◽  
N.V. Voytyuk ◽  
V.V. Lysytsia ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Surgical Treatment ◽  
Open Access ◽  
Hospital Stay ◽  
Laparoscopic Approach ◽  
Length Of Hospital Stay ◽  
Lower Percentage ◽  
Hernia Surgery ◽  
Inguinal Hernias ◽  
Inguinal Hernia Surgery

Purpose – to analyze condition of patients after surgical treatment of inguinal hernias by laparoscopic and open methods. Materials and methods. A retrospective review of medical histories and outpatient charts of all patients who underwent inguinal hernia surgery at the Kyiv City Clinical Hospital No. 1 from January 2018 to July 2020 was conducted. Results. During the above period of time in our hospital open hernioplasty was performed in 86 patients, laparoscopic hernioplasty – 138 patients. With open hernioplasty, the average duration of surgical treatment was 40±12 minutes. The laparoscopic technique was 35±12 minutes. The length of hospital stay was significantly longer in the group of patients with the open method (48±12 hours) than in the group of laparoscopic plastic surgery (12±3 hours). From the group of patients who underwent open hernioplasty, 62 patients complained of long-term pain syndrome, from the group of laparoscopy – 12 patients. The cosmetic appearance was dissatisfied with 34 patients in the open access group and only 2 patients in the laparoscopic plastic group. Postoperative complications were observed in 34 patients who underwent surgical treatment through open access, and in 15 patients – by laparoscopy. Conclusions. The laparoscopic approach of inguinal hernia surgery is superior to open access, as it reduces the length of hospital stay, postoperative recovery, improves the aesthetic effect of the operation, reduces the frequency of infection of incisions. According to the results of the study, this technique gives a better result in the early postoperative period, a lower percentage of chronic pain and a higher degree of patient satisfaction compared to open access with the same low recurrence rate. Therefore, in our opinion, laparoscopic access to hernioplasty is the optimal method of treatment and can be recommended as a method of choosing inguinal hernia surgery. Postoperative assessment of the quality of life of patients after treatment of inguinal hernia by laparoscopic and open methods. The research was carried out in accordance with the principles of the Helsinki declaration. The study protocol was approved by the Local ethics committee of all participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: inguinal hernia, laparoscopy, open access surgery, analysis of methods, operation.

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