Acute appendicitis: should the laparoscopic approach be proposed as the gold standard? Six-year experience in an Emergency Surgery Unit

Gaspare Gulotta, Giovanni Guercio, Leo Licari, Artemisia Dafnomili, Cristina Raspanti, Giulia Rotolo, Giuseppe Augello, Nicolo' Falco, Noemi Bagarella, Tommaso Fontana

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Acute appendicitis is common in an Emergency Surgery Unit. Although the laparoscopic approach is a method accepted for its treatment, no strong data are available for determining how many procedures must an experienced surgeon carry out for obtaining all the advantages of this technique and if this approach can become the gold standard in the activity of a general emergency unit with senior surgeons variously skilled on the basic laparoscopy. 142 patients that underwent appendectomy (90 laparoscopic, 52 conventional) for acute appendicitis were enrolled in this institutional retrospective cohort study. The surgeons were classified with a descriptor-based grading and divided in two groups regarding the skill. The only relevant result of our study was the significant reduction of conversion rate in case of laparoscopic approach. No strong differences were found concerning the duration of the procedure and the hospital stay between the two groups. The rate of complications were very low in both groups. In conclusion, the experienced surgeons can easily perform a laparoscopic approach independently from the specific skill in this approach.
Original languageEnglish
Pages (from-to)174-179
Number of pages6
JournalIL GIORNALE DI CHIRURGIA
Volume37
Publication statusPublished - 2016

All Science Journal Classification (ASJC) codes

  • Surgery

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