LAPAROSCOPIC APPENDECTOMY DOES NOT INCREASE THE RATE OF NEGATIVE APPENDECTOMY along with a lower rate of perforated appendicitis - RESULTS IN 1899 PATIENTS at Zagreb UHC

- Laparoscopic appendectomy is the method of choice of many professional societies owing to its many advantages. The question arises whether surgeons urge more easily to laparoscopic exploration due to its less invasiveness, faster recovery and adequate exploration of the entire abdominal cavity tha...

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Published in:Acta clinica Croatica (Tisak) 2018-09, Vol.57 (3), p.503-509
Main Authors: Augustin, Goran, Čižmešija, Zrinka, Žedelj, Jurica, Petrović, Igor, Ivković, Vanja, Antabak, Anko, Mijatović, Davor, Škegro, Mate
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Appendectomy
Appendicitis
Croatia
Laparoscopy
Original Scientific Papers
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container_title Acta clinica Croatica (Tisak)
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creator Augustin, Goran
Čižmešija, Zrinka
Žedelj, Jurica
Petrović, Igor
Ivković, Vanja
Antabak, Anko
Mijatović, Davor
Škegro, Mate
description - Laparoscopic appendectomy is the method of choice of many professional societies owing to its many advantages. The question arises whether surgeons urge more easily to laparoscopic exploration due to its less invasiveness, faster recovery and adequate exploration of the entire abdominal cavity than to observation in unequivocal cases. This retrospective analysis (2009-2016) included 1899 patients undergoing laparoscopic (lap) or gridiron intra-abdominal approach treated at Zagreb University Hospital Centre. The analysis included total negative appendectomy, negative-negative appendectomy (normal appendix and no other pathology found), and negative-positive appendectomy (normal appendix but another pathology found) in children (≤16 years) and adults. There was no statistically significant difference in the rates of negative appendectomy (children) - lap . open (p=0.24); negative appendectomy (adults) - lap . open (p=0.15); negative-negative appendectomy (children) - lap . open (p=0.36); negative-negative appendectomy (adults) - lap . open (p=0.21); negative-positive appendectomy (children) - lap . open (p=0.53); negative-positive appendectomy (adults) - lap . open (p=0.56); and laparoscopy group negative appendectomy in children . adults (p=0.56). There was a statistically significantly higher perforation rate with the open approach in total (p
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The question arises whether surgeons urge more easily to laparoscopic exploration due to its less invasiveness, faster recovery and adequate exploration of the entire abdominal cavity than to observation in unequivocal cases. This retrospective analysis (2009-2016) included 1899 patients undergoing laparoscopic (lap) or gridiron intra-abdominal approach treated at Zagreb University Hospital Centre. The analysis included total negative appendectomy, negative-negative appendectomy (normal appendix and no other pathology found), and negative-positive appendectomy (normal appendix but another pathology found) in children (≤16 years) and adults. There was no statistically significant difference in the rates of negative appendectomy (children) - lap . open (p=0.24); negative appendectomy (adults) - lap . open (p=0.15); negative-negative appendectomy (children) - lap . open (p=0.36); negative-negative appendectomy (adults) - lap . open (p=0.21); negative-positive appendectomy (children) - lap . open (p=0.53); negative-positive appendectomy (adults) - lap . open (p=0.56); and laparoscopy group negative appendectomy in children . adults (p=0.56). There was a statistically significantly higher perforation rate with the open approach in total (p&lt;0.0001), in children (p&lt;0.0001) and in adults (p=0.02). There was no statistically significant difference between adults and children in the perforation rate with laparoscopic approach (p=0.24) and perforation rate with open approach (p=0.29). Results confirmed that there was no statistically significant difference in the rate of negative appendectomy in all subgroups. 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The question arises whether surgeons urge more easily to laparoscopic exploration due to its less invasiveness, faster recovery and adequate exploration of the entire abdominal cavity than to observation in unequivocal cases. This retrospective analysis (2009-2016) included 1899 patients undergoing laparoscopic (lap) or gridiron intra-abdominal approach treated at Zagreb University Hospital Centre. The analysis included total negative appendectomy, negative-negative appendectomy (normal appendix and no other pathology found), and negative-positive appendectomy (normal appendix but another pathology found) in children (≤16 years) and adults. There was no statistically significant difference in the rates of negative appendectomy (children) - lap . open (p=0.24); negative appendectomy (adults) - lap . open (p=0.15); negative-negative appendectomy (children) - lap . open (p=0.36); negative-negative appendectomy (adults) - lap . open (p=0.21); negative-positive appendectomy (children) - lap . open (p=0.53); negative-positive appendectomy (adults) - lap . open (p=0.56); and laparoscopy group negative appendectomy in children . adults (p=0.56). There was a statistically significantly higher perforation rate with the open approach in total (p&lt;0.0001), in children (p&lt;0.0001) and in adults (p=0.02). There was no statistically significant difference between adults and children in the perforation rate with laparoscopic approach (p=0.24) and perforation rate with open approach (p=0.29). Results confirmed that there was no statistically significant difference in the rate of negative appendectomy in all subgroups. 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The question arises whether surgeons urge more easily to laparoscopic exploration due to its less invasiveness, faster recovery and adequate exploration of the entire abdominal cavity than to observation in unequivocal cases. This retrospective analysis (2009-2016) included 1899 patients undergoing laparoscopic (lap) or gridiron intra-abdominal approach treated at Zagreb University Hospital Centre. The analysis included total negative appendectomy, negative-negative appendectomy (normal appendix and no other pathology found), and negative-positive appendectomy (normal appendix but another pathology found) in children (≤16 years) and adults. There was no statistically significant difference in the rates of negative appendectomy (children) - lap . open (p=0.24); negative appendectomy (adults) - lap . open (p=0.15); negative-negative appendectomy (children) - lap . open (p=0.36); negative-negative appendectomy (adults) - lap . open (p=0.21); negative-positive appendectomy (children) - lap . open (p=0.53); negative-positive appendectomy (adults) - lap . open (p=0.56); and laparoscopy group negative appendectomy in children . adults (p=0.56). There was a statistically significantly higher perforation rate with the open approach in total (p&lt;0.0001), in children (p&lt;0.0001) and in adults (p=0.02). There was no statistically significant difference between adults and children in the perforation rate with laparoscopic approach (p=0.24) and perforation rate with open approach (p=0.29). Results confirmed that there was no statistically significant difference in the rate of negative appendectomy in all subgroups. 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subjects Appendectomy
Appendicitis
Croatia
Laparoscopy
Original Scientific Papers
title LAPAROSCOPIC APPENDECTOMY DOES NOT INCREASE THE RATE OF NEGATIVE APPENDECTOMY along with a lower rate of perforated appendicitis - RESULTS IN 1899 PATIENTS at Zagreb UHC
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