TY - JOUR
T1 - Laparoscopic appendectomy is superior to open appendectomy in obese patients
AU - Corneille, Michael G.
AU - Steigelman, Megan B.
AU - Myers, John G.
AU - Jundt, Jason
AU - Dent, Daniel L.
AU - Lopez, Peter P.
AU - Cohn, Stephen M.
AU - Stewart, Ronald M.
PY - 2007/12
Y1 - 2007/12
N2 - Background: There are minimal data comparing laparoscopic appendectomy (LA) with open appendectomy (OA) in obese patients. Methods: We reviewed consecutive adult patients from 2003 to 2005 who underwent an appendectomy at a University-affiliated teaching hospital. Obesity was defined as a body mass index of 30 or greater. Outcome measures included length of stay, surgical times, intra-abdominal abscesses, wound infections, and hospital charges. Results: There were 116 patients with a mean body mass index of 35. Eighty-five patients underwent LA, 12 were converted to open, 4 of 12 (31%) were perforated. Thirty-one patients underwent OA. Overall, 21 (18%) were perforated. Length of stay for LA was better, 3.4 days versus 5.5 days for OA (P = .02), and wound closure rate was better, 90% for LA versus 68% for OA (P < .01). Other outcome measures were equivalent. Conclusions: LA is associated with shorter lengths of stay, fewer open wounds, and equivalent hospital charges and intra-abdominal abscess rates; and should be considered the procedure of choice for obese patients with appendicitis.
AB - Background: There are minimal data comparing laparoscopic appendectomy (LA) with open appendectomy (OA) in obese patients. Methods: We reviewed consecutive adult patients from 2003 to 2005 who underwent an appendectomy at a University-affiliated teaching hospital. Obesity was defined as a body mass index of 30 or greater. Outcome measures included length of stay, surgical times, intra-abdominal abscesses, wound infections, and hospital charges. Results: There were 116 patients with a mean body mass index of 35. Eighty-five patients underwent LA, 12 were converted to open, 4 of 12 (31%) were perforated. Thirty-one patients underwent OA. Overall, 21 (18%) were perforated. Length of stay for LA was better, 3.4 days versus 5.5 days for OA (P = .02), and wound closure rate was better, 90% for LA versus 68% for OA (P < .01). Other outcome measures were equivalent. Conclusions: LA is associated with shorter lengths of stay, fewer open wounds, and equivalent hospital charges and intra-abdominal abscess rates; and should be considered the procedure of choice for obese patients with appendicitis.
KW - Appendectomy
KW - Appendicitis
KW - Laparoscopic appendectomy
KW - Laparoscopy
KW - Obesity
KW - Wound infection
UR - https://www.scopus.com/pages/publications/36048989955
UR - https://www.scopus.com/pages/publications/36048989955#tab=citedBy
U2 - 10.1016/j.amjsurg.2007.08.043
DO - 10.1016/j.amjsurg.2007.08.043
M3 - Article
C2 - 18005788
AN - SCOPUS:36048989955
SN - 0002-9610
VL - 194
SP - 877
EP - 881
JO - American journal of surgery
JF - American journal of surgery
IS - 6
ER -