caa a22 4500 477034527 CHVBK 20180405111301.0 cr unu---uuuuu 170330e19960101xx s 000 0 eng 10.1007/s002689900003 doi (NATIONALLICENCE)springer-10.1007/s002689900003 Laparoscopic versus Open Appendectomy: Prospective Randomized Trial [Elektronische Daten] [John Brendan Hansen, Bernard Mark Smithers, David Schache, Daryl Robert Wall, Brian John Miller, Betty Lynette Menzies] Abstract. A prospective randomized trial comparing laparoscopic appendectomy with open appendectomy in patients with a diagnosis of acute appendicitis was conducted between October 1992 and April 1994. Of the 158 patients randomized, 7 patients were excluded because of protocol violations (conversion to laparotomy in 4, appendix not removed in 3). The 151 patients randomized to either a laparoscopic (: 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. 1996 by the Société Internationale de Chir, ugie Hansen John Brendan Department of Surgery, Princess Alexandra Hospital, Ipswich Road, Brisbane, Queensland, Australia, AU aut Smithers Bernard Mark Department of Surgery, Princess Alexandra Hospital, Ipswich Road, Brisbane, Queensland, Australia, AU aut Schache David Department of Surgery, Princess Alexandra Hospital, Ipswich Road, Brisbane, Queensland, Australia, AU aut Wall Daryl Robert Department of Surgery, Princess Alexandra Hospital, Ipswich Road, Brisbane, Queensland, Australia, AU aut Miller Brian John Department of Surgery, Princess Alexandra Hospital, Ipswich Road, Brisbane, Queensland, Australia, AU aut Menzies Betty Lynette Department of Surgery, University of Queensland, Brisbane, Queensland, Australia, AU aut https://doi.org/10.1007/s002689900003 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900003 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hansen John Brendan Department of Surgery, Princess Alexandra Hospital, Ipswich Road, Brisbane, Queensland, Australia, AU aut NATIONALLICENCE 700 1- Smithers Bernard Mark Department of Surgery, Princess Alexandra Hospital, Ipswich Road, Brisbane, Queensland, Australia, AU aut NATIONALLICENCE 700 1- Schache David Department of Surgery, Princess Alexandra Hospital, Ipswich Road, Brisbane, Queensland, Australia, AU aut NATIONALLICENCE 700 1- Wall Daryl Robert Department of Surgery, Princess Alexandra Hospital, Ipswich Road, Brisbane, Queensland, Australia, AU aut NATIONALLICENCE 700 1- Miller Brian John Department of Surgery, Princess Alexandra Hospital, Ipswich Road, Brisbane, Queensland, Australia, AU aut NATIONALLICENCE 700 1- Menzies Betty Lynette Department of Surgery, University of Queensland, Brisbane, Queensland, Australia, AU aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer