PURPOSE The appendectomy is the most common emergent surgical procedure in elderly patients. The increasing number of elderly persons has been accompanied by an increase in the number of cases of acute appendicitis in the elderly. In order to understand the clinical significance of a laparoscopic appendectomy for elderly patients with appendicitis, we investigated the results of a laparoscopic ...

BACKGROUND Laparoscopy may offer fast recovery and improved cosmesis, but its cost has been perceived as excessive. OBJECTIVE To analyze the total hospital costs of laparoscopy vs open surgery. DESIGN Retrospective cost-effectiveness analysis evaluating all cases performed in a 36-month period (September 1995 to August 1998). Cases were evaluated for operative time, itemized cost of supplie...

BACKGROUND Several systematic reviews (SRs) of randomised controlled trials (RCTs) comparing laparoscopic versus open appendectomy have been published, but there has been no overview of SRs of these two interventions. This overview (review of review) aims to summarise the results of such SRs in order to provide the most up to date evidence, and to highlight discordant results. METHODS Medline...

BACKGROUND/PURPOSE: Laparoscopic treatment of pediatric appendicitis remains controversial especially in cases of complications including perforated and gangrenous appendicitis and their attendant overall postoperative outcomes. This study evaluates the comparison of various outcomes in open (OA) and laparoscopic appendectomy (LA). METHODS: A retrospective chart reviewed was performed on 382 co...

BACKGROUND Minilaparoscopic appendectomy for appendicitis is not a well-established procedure. This approach provides less abdominal wall trauma, fewer complications, and excellent cosmetic results. Our aim was to show the feasibility and safety of the minilaparoscopic approach. METHODS Minilaparoscopic appendectomy was performed in 37 patients. Two 2.2-mm trocars were used to manipulate a 2....