review Open AccessTop 1% cited

Laparoscopic versus open surgery for suspected appendicitis

Cochrane Database of Systematic Reviews · 2018 · Vol. 2018(11)

Thomas Jaschinski✉(Witten/Herdecke University)Christoph Mösch(Witten/Herdecke University)Michaela EikermannEdmund Neugebauer(Medizinische Hochschule Brandenburg Theodor Fontane)Stefan Sauerland(Institute for Quality and Efficiency in Health Care)

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Abstract

The removal of the acute appendix is one of the most frequently performed surgical procedures. Open surgery associated with therapeutic efficacy has been the treatment of choice for acute appendicitis. However, in consequence of the evolution of endoscopic surgery, the operation can also be performed with minimally invasive surgery. Due to smaller incisions, the laparoscopic approach may be associated with reduced postoperative pain, reduced wound infection rate, and shorter time until return to normal activity.This is an update of the review published in 2010.

Appendicitis Diagnosis and Management Intraperitoneal and Appendiceal Malignancies Hernia repair and managementMedicineOdds ratioConfidence intervalMEDLINERandomized controlled trialMeta-analysisClinical trialAdverse effectLaparoscopic surgeryAppendicitis

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