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Prospective randomized multicentre study of laparoscopic versus open appendicectomy

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Background: A prospective randomized multicentre study was performed to compare the outcome of laparoscopic and open appendicectomy in patients with suspected acute appendicitis.

Methods: A total of 523 patients was randomized, but because of 23 withdrawals the outcome in 500 patients is reported, 244 in the laparoscopic group and 256 in the open group.

Results: Patients having laparoscopic appendicectomy recovered more quickly than those having open surgery (13 versus 21 days, P < 0·001). There was no significant difference in duration of sick leave after operation (laparoscopic group 11 days versus open group 14 days). Postoperative pain (at 24 h, 7 days and 14 days) was less after laparoscopic operations and a functional index 1 week after operation was more favourable in these patients (P < 0·001). Operating time was significantly longer in the laparoscopic group (60 versus 35 min, P < 0·01). Hospital stay and complications did not differ between the groups. Thirty laparoscopic procedures (12 per cent) were converted to open appendicectomy.

Conclusion: Laparoscopic appendicectomy is as safe as open appendicectomy and has the advantage of allowing a quicker recovery.
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Document Type: Research Article

Affiliations: 1: Departments of Surgery, Central Hospital, Västerås, Sweden 2: University Hospital of Linköping, Sweden 3: Nacka Hospital, Stockholm, Sweden 4: Hospital of Helsingborg, Sweden 5: Northern Älvsborg County Hospital Trollhättan, Sweden 6: Department of Research, Central Hospital, Västerås, Sweden

Publication date: January 1, 1999

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