Long-term follow-up of a randomized clinical trial of open versus laparoscopic appendicectomy.
Br J Surg
; 97(9): 1395-400, 2010 Sep.
Article
in En
| MEDLINE
| ID: mdl-20632312
ABSTRACT
BACKGROUND:
The aim of this study was to assess long-term outcome following open versus laparoscopic appendicectomy.METHODS:
A total of 105 patients with suspected acute appendicitis were randomized to LA (51) or OA (54) between 1997 and 1999 at one hospital. Perioperative factors and follow-up data from the outpatient clinic were recorded. Information about symptoms and overall satisfaction was obtained by telephone interview. In addition, appendicectomy data for 2008 were analysed retrospectively for comparison in a contemporary setting.RESULTS:
Data from 52 patients who had OA and 47 who had LA were analysed. OA was performed mostly by trainees, but LA was more likely to be undertaken by a consultant. The open procedure was quicker than the laparoscopic operation in the trial period (median 38 versus 65 min respectively; P < 0.001), but the difference was only 10 min in 2008. The OA group returned to work later than the LA group (median 13 versus 8 days; P = 0.013) and had more complications (22 versus 6; P = 0.014). Only one patient (OA) had a reoperation, owing to abdominal adhesions. Among 76 patients available for telephone interview, satisfaction scores were marginally higher for LA than OA.CONCLUSION:
LA has some advantages compared with an open approach. REGISTRATION NUMBER NCT00908804 (http//www.clinicaltrials.gov).
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Appendectomy
/
Appendicitis
/
Laparoscopy
Type of study:
Clinical_trials
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limits:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Br J Surg
Year:
2010
Document type:
Article
Affiliation country:
Finland