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  • Title: [Elective standard appendectomy versus elective laparoscopic appendectomy in women. A retrospective study].
    Author: Subrt Z, Ferko A, Oberreiter M.
    Journal: Rozhl Chir; 2005 May; 84(5):233-7. PubMed ID: 16045118.
    Abstract:
    AIM: Comparison of open appendectomy and laparoscopic appendectomy with focus on the wound infectious complications. METHODS: Retrospective comparison of the early postoperative complications of the elective open and elective laparoscopic appendectomy in the Surgical Clinics of the Teaching Hospital Hradec Králové in period January 2001-July 2004. RESULTS: 250 elective appendectomies in women were performed in followed period. 187 (75%) were done by laparoscopic approach, 63 (25%) by open procedure. Conversion was necessary in 18 cases (9.6%). The average hospital stay was statistically significantly shorter following laparoscopic than open appendectomy, 4.6 +/- 1.5 days counter to 6.1 +/- 1.6. The global morbidity was comparable in both groups 15%, one patient died (0.5%) in laparoscopic appendectomy group. The incidence of early postoperative complications was not statistically different in both groups. CONCLUSIONS: The average hospital stay was statistically significantly shorter following laparoscopic appendectomy. Laparoscopic appendectomy did not improve the results regarding infectious complications and was a cause of serious complications. Some of them required operational revision.
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