caa a22 4500 477035566 CHVBK 20180405111304.0 cr unu---uuuuu 170330e19960301xx s 000 0 eng 10.1007/s002689900041 doi (NATIONALLICENCE)springer-10.1007/s002689900041 Prospective Randomized Comparison of Open versus Laparoscopic Appendectomy in Men [Elektronische Daten] [Michael R. Cox, John L. McCall, James Toouli, Robert T.A. Padbury, Thomas G. Wilson, David A. Wattchow, Mary Langcake] Abstract. A prospective, randomized trial was performed to compare open appendectomy with laparoscopic appendectomy in men with a clinical diagnosis of acute appendicitis. Sixty-four patients with a median age of 25 years (range 18-84 years) were randomized to open appendectomy (: n = 31) or laparoscopic ( n = 33) appendectomy. Of the 64 men, 56 (87.5%) had appendicitis (27 open, 29 laparoscopic procedures). The mean operating times were 50.6 ± 3.7 minutes (± SEM) for open and 58.9 ± 4.0 minutes for laparoscopic appendectomy ( p = 0.13). Five (15%) patients randomized to laparoscopic appendectomy had an open operation. The mean postoperative hospital stay was significantly longer for open appendectomy (3.8 ± 0.4 days) than for laparoscopic appendectomy (2.9 ± 0.3 days) ( t = 2.05, df = 62, p = 0.045). The complication rate after open appendectomy (25.8%) was not significantly different from that after laparoscopic appendectomy (12.1%). There was a single postoperative death due to a pulmonary embolus in the laparoscopic group and a single death due to cardiac and renal failure in the open group. The mean time to return to normal activities was significantly longer following open appendectomy (19.7 ± 2.4 days) than after laparoscopic appendectomy (10.4 ± 0.9 days), ( t = 3.75, df = 49, p = 0.001). In conclusion, laparoscopic appendectomy in men has significant advantages in terms of a more rapid recovery compared to open appendectomy. There were no significant disadvantages to laparoscopic appendectomy compared to open appendectomy. 1996 by the Société Internationale de Chir, ugie Cox Michael R. Gastrointestinal Surgical Unit, Department of Surgery, Flinders Medical Center, Bedford Park 5042, South Australia, Australia, AU aut McCall John L. Gastrointestinal Surgical Unit, Department of Surgery, Flinders Medical Center, Bedford Park 5042, South Australia, Australia, AU aut Toouli James Gastrointestinal Surgical Unit, Department of Surgery, Flinders Medical Center, Bedford Park 5042, South Australia, Australia, AU aut Padbury Robert T.A. Gastrointestinal Surgical Unit, Department of Surgery, Flinders Medical Center, Bedford Park 5042, South Australia, Australia, AU aut Wilson Thomas G. Gastrointestinal Surgical Unit, Department of Surgery, Flinders Medical Center, Bedford Park 5042, South Australia, Australia, AU aut Wattchow David A. Gastrointestinal Surgical Unit, Department of Surgery, Flinders Medical Center, Bedford Park 5042, South Australia, Australia, AU aut Langcake Mary Gastrointestinal Surgical Unit, Department of Surgery, Flinders Medical Center, Bedford Park 5042, South Australia, Australia, AU aut https://doi.org/10.1007/s002689900041 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900041 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cox Michael R. Gastrointestinal Surgical Unit, Department of Surgery, Flinders Medical Center, Bedford Park 5042, South Australia, Australia, AU aut NATIONALLICENCE 700 1- McCall John L. Gastrointestinal Surgical Unit, Department of Surgery, Flinders Medical Center, Bedford Park 5042, South Australia, Australia, AU aut NATIONALLICENCE 700 1- Toouli James Gastrointestinal Surgical Unit, Department of Surgery, Flinders Medical Center, Bedford Park 5042, South Australia, Australia, AU aut NATIONALLICENCE 700 1- Padbury Robert T.A. Gastrointestinal Surgical Unit, Department of Surgery, Flinders Medical Center, Bedford Park 5042, South Australia, Australia, AU aut NATIONALLICENCE 700 1- Wilson Thomas G. Gastrointestinal Surgical Unit, Department of Surgery, Flinders Medical Center, Bedford Park 5042, South Australia, Australia, AU aut NATIONALLICENCE 700 1- Wattchow David A. Gastrointestinal Surgical Unit, Department of Surgery, Flinders Medical Center, Bedford Park 5042, South Australia, Australia, AU aut NATIONALLICENCE 700 1- Langcake Mary Gastrointestinal Surgical Unit, Department of Surgery, Flinders Medical Center, Bedford Park 5042, South Australia, Australia, AU aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer