Laparoscopic appendectomy in Switzerland: a prospective audit of 2, 179 cases.

Details

Serval ID
serval:BIB_2A35C233BCE7
Type
Article: article from journal or magazin.
Collection
Publications
Title
Laparoscopic appendectomy in Switzerland: a prospective audit of 2, 179 cases.
Journal
Digestive surgery
Author(s)
Schäfer M., Krähenbühl L., Frei E., Büchler M.W.
ISSN
0253-4886 (Print)
ISSN-L
0253-4886
Publication state
Published
Issued date
2000
Peer-reviewed
Oui
Volume
17
Number
5
Pages
497-502
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Since its introduction in 1983, laparoscopic appendectomy (LA) has not replaced the conventional open procedure. The patient benefit seems limited to a decreased wound infection rate, and the overall morbidity and mortality rates remain equal to those of open appendectomy.
The data (collected by the Swiss Association of Laparoscopic and Thoracoscopic Surgery) from 2, 179 patients undergoing LA at 84 surgical institutions in Switzerland between January 1995 and December 1997 were retrospectively analyzed.
More than 90% of all patients had no intra- or postoperative complications. However, perforated appendicitis was associated with more complications, in particular a threefold increased wound infection rate (9.2 vs 3.5%). Furthermore, the conversion and reoperation rates of perforated appendicitis were significantly increased compared to 'simple' acute appendicitis (25. 5 and 10.4% vs 4.8 and 2.1%, respectively). LA performed with a stapling device is superior to LA performed with loops, although the difference is not significant.
Therefore, LA is a safe and effective procedure. The postoperative morbidity and mortality rates are comparable to those of open appendectomy, which is still the most commonly used procedure in Switzerland. The question of whether perforated appendicitis is better treated laparoscopically or by the open procedure cannot be answered with our data.
Keywords
Adolescent, Adult, Aged, Aged, 80 and over, Appendectomy/methods, Child, Child, Preschool, Female, Humans, Intestinal Perforation/surgery, Intraoperative Complications, Laparoscopy, Male, Medical Audit, Middle Aged, Reoperation, Retrospective Studies, Surgical Stapling, Surgical Wound Infection/etiology, Switzerland, Treatment Outcome
Pubmed
Web of science
Create date
11/12/2018 12:41
Last modification date
20/08/2019 13:09
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