Navigation Links
Treating appendicitis by laparoscopic surgery may not be worth the cost
Date:2/2/2009

CHICAGO (February 2, 2009) New research published in the February issue of the Journal of the American College of Surgeons suggests that a traditional, "open" appendectomy may be preferable to a less-invasive laparoscopic appendectomy for the majority of patients with acute appendicitis, contrary to recent trends.

Approximately 250,000 appendectomies are performed in the United States each year to treat appendicitis, an inflammation of the appendix that is considered a medical emergency. If treatment is delayed, the appendix can rupture, causing infection and even death.

For almost a century, open appendectomy was the standard treatment for appendicitis, until the 1980s when laparoscopic appendectomy first gained popularity. This transition was based on data that suggested the operation, in which an instrument called a laparoscope is inserted through small incisions in the abdomen, was associated with reduced pain, faster recovery and better cosmetic results.

"The results of this study challenge the current trend toward increased use of laparoscopic appendectomy," said Klaus Thaler, MD, FACS, department of surgery, University of Missouri, Kansas City. "Although laparoscopic surgery is associated with shorter hospital stays, it actually increases costs and may raise the risk of complications in the majority of appendectomy patients."

This retrospective study examined 235,473 patients who underwent open or laparoscopic appendectomy between 2000 and 2005. Length-of-stay, costs and complications were assessed by stratified analysis for uncomplicated (n=169,094) and complicated (n=66,379) appendicitis. Regression methods were used to adjust for covariates and to detect trends.

The study demonstrated that the odds of having any kind of complication were significantly higher in the laparoscopic group among patients with uncomplicated appendicitis (p<0.05, odds ratio = 1.07), and that there was no difference among patients with complicated appendicitis (p=0.74). The only complications reduced by using the laparoscopic approach were infections in the uncomplicated group, and infections and pulmonary complications in the complicated group.

The adjusted costs for laparoscopic appendectomy were 22 percent higher in uncomplicated appendicitis and 9 percent higher in patients with complicated appendicitis (p<0.001). The increased expense for laparoscopic appendectomy are likely related to higher operating room costs, including greater expense for operative instruments and longer operative times. According to the study, laparoscopic appendectomy did result in a reduced length of hospital stay for both the uncomplicated and complicated groups (p<0.001 and p<0.0001, respectively).


'/>"/>

Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
Weber Shandwick Worldwide
Source:Eurekalert

Related medicine news :

1. Drug combinations key in treating neurodegenerative diseases
2. Novartis Oncology Launches GIST Alliance&#8482; for Healthcare Professionals Treating Gastrointestinal Stromal Tumors
3. Breast cancer drug shows promise for treating, preventing progestin-dependent tumors
4. Photos: Apples iPhone Finds New Use in Treating Stuttering at Hollins Communications Research Institute
5. Older Drug Effective in Treating Pediatric Nerve Cancer
6. ALS TDI and Asklepios to Develop New Therapeutic Delivery Options for Treating Lou Gehrigs Disease
7. Treating gum disease linked to lower medical costs for patients with diabetes
8. Schering-Plough Announces FDA Approval of PEGINTRON(TM) and REBETOL(R) Combination Therapy for Treating Pediatric Hepatitis C
9. Treating sleep apnea in Alzheimers patients helps cognition
10. Hope for treating relapse to methamphetamine abuse
11. Cost of treating colorectal cancer can vary by thousands per patient
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/24/2017)... ... April 24, 2017 , ... The Santana Telehealth Project was honored with ... — the American Telemedicine Association’s annual conference, on April 23 in Orlando, FL. , ... to improve the lives of the poor and underserved in other parts of the ...
(Date:4/24/2017)... , ... April 24, 2017 , ... ... Research Association’s Outstanding Public Communication of Education Research Award. The award honors scholars ... education communities. It recognizes a scholar who has demonstrated the capacity to deepen ...
(Date:4/24/2017)... Calif. (PRWEB) , ... April 24, 2017 , ... The ... $1.6 million in charitable dental services to 1,961 people during the April 22-23 event ... at no charge to Californians who experience barriers to care, CDA Cares educates the ...
(Date:4/24/2017)... (PRWEB) , ... April 24, 2017 , ... The John ... innovative technology that allows anyone, anywhere to track their cognitive health, and share results ... check their own brain health on the museum's website. , BrainCheck founder, Dr. David ...
(Date:4/24/2017)... ... April 24, 2017 , ... My T Chai, a South ... are now available for purchase on RevNutrition.com, a popular website specializing in sales of ... and popularized in ancient India and Siam. It spread across Asia and Africa quickly, ...
Breaking Medicine News(10 mins):
(Date:4/20/2017)... April 20, 2017  AbbVie (NYSE: ABBV), a ... (n=145/146) of chronic hepatitis C virus (HCV) infected ... 6 and compensated cirrhosis (Child-Pugh A) achieved sustained ... ) with its investigational, pan-genotypic regimen of glecaprevir/pibrentasvir ... seen following 12 weeks of G/P treatment without ...
(Date:4/20/2017)... LUND, Sweden , April 20, 2017 /PRNewswire/ ... OTCQX: NEVPF) ("NeuroVive") today announced positive preclinical ... company,s preclinical compound for non-alcoholic steatohepatitis (NASH), ... NV556 has previously ... STAM™ NASH model. Today, NeuroVive,s scientists present ...
(Date:4/19/2017)... NEW YORK , April 19, 2017 Cardiology ... during the projected period The Cardiology Devices segment ... more than US$ 15 Mn in 2018 over 2017. By ... reach a market valuation close to US$ 700 Mn, expanding ... Cardiology Devices segment dominated the Asia Pacific ...
Breaking Medicine Technology: