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Evidence summaries

Laparoscopic Vs. Open Appendicectomy

Laparoscopic appendectomy (LA) has advantages over open appendectomy (OA) in pain intensity on day one, wound infections, length of hospital stay and time until return to normal activity in adults. LA also has advantages over OA in wound infections and length of hospital stay in children. LA is associated with higher rate of intra-abdominal abscesses than OA in adults Level of evidence: "A"

A Cochrane review 1 included 85 studies with 9765 participants. Seventy-five trials included 8520 adults and 10 trials included 1245 children. Randomized clinical trials comparing laparoscopic (LA) versus open appendectomy (OA) were included.

Abstract and full text in Cochrane database http://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001546.pub4/full, SOF table http://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001546.pub4/full#CD001546-sec1-0001 (licence for full text and SOF table required)

    References

    • Jaschinski T, Mosch CG, Eikermann M et al. Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev 2018;(11):CD001546. [PubMed].

Primary/Secondary Keywords