Laparoscopic vs conventional open surgery in appendicitis: where are we standing?
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| Title: | Laparoscopic vs conventional open surgery in appendicitis: where are we standing? |
|---|---|
| Alternate Title: | Cirugía abierta convencional vs laparoscópica en apenditicis: ¿dónde estamos? |
| Authors: | Villacrés, Bermeo1 alfonso.bermeo@espoch.edu.ec, Jara Orna, Luis Medardo2, Almeida Alvarado, Jhoanna Cristina2, Carrillo Sañay, Maritza Verónica2, Carrasco Bonilla, María Belén3, Paucar Moromenacho, Johanna Andrea4, Iza Salaza, José Davis5, Cardozo Cabezas, Lisbeth Carolina6, del Carmen Quinga Gómez, Paulina7, Peñaranda Ayala, Katerine Nicole8 |
| Source: | Revista Latinoamericana de Hipertensión. 2023, Vol. 18 Issue 3, p119-123. 5p. |
| Subjects: | APPENDICITIS, SURGICAL indications, LAPAROSCOPIC surgery, CHILD patients, OPERATIVE surgery, LENGTH of stay in hospitals |
| Abstract (English): | Appendicitis is one of the most frequent indications for surgical intervention, mostly in the pediatric population and, to a lesser degree, in adults. Conventionally, the surgical approach to appendicitis has been the gold standard for over a century, providing the highest success ratio. However, as with every surgical procedure, it may have complications. The technique for appendectomy has evolved in the past decades to decrease the incidence of complications, resulting in two great variants: open appendectomy (OAP) and laparoscopic appendectomy (LAP). Several aspects remain controversial when comparing these alternatives, including adverse events, pain scores, length of hospital stay, recovery time, and costs. Current evidence suggests that LAP has been widely adopted, providing great results. However, some authors have stated that the associated complications do not outweigh the inherent risks, speaking particularly of the IAA. Nonetheless, current, high-quality evidence reports that LAP and OAP are almost equally safe in most scenarios, with a slight tilt in the benefits balance towards the LAP. The lower incidence of SSI, shorter length of stay, lower pain scores, and faster recovery more than make up for the marginally higher cost. Given this scenario, several studies have compared these alternatives. This review aims to compare the complication rates and associated costs of OAP vs. LAP to provide a clear conclusion as to which is the best alternative to treat appendicitis. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | La apendicitis es una de las indicaciones más frecuentes de intervención quirúrgica, mayoritariamente en la población pediátrica y, en menor medida, en la adulta. Convencionalmente, el abordaje quirúrgico de la apendicitis ha sido el estándar de oro durante más de un siglo, brindando la tasa de éxito más alta. Sin embargo, como todo procedimiento quirúrgico, puede tener complicaciones. La técnica de apendicectomía ha evolucionado en las últimas décadas para disminuir la incidencia de complicaciones, dando como resultado dos grandes variantes: apendicectomía abierta (OAP) y apendicectomía laparoscópica (LAP). Varios aspectos siguen siendo controvertidos cuando se comparan estas alternativas, incluidos los eventos adversos, las puntuaciones de dolor, la duración de la estancia hospitalaria, el tiempo de recuperación y los costos. La evidencia actual sugiere que LAP ha sido ampliamente adoptada, proporcionando excelentes resultados. Sin embargo, algunos autores han afirmado que las complicaciones asociadas no superan los riesgos inherentes, hablando en particular del absceso intraabdominal. No obstante, la evidencia actual informa que LAP y OAP son casi igualmente seguros en la mayoría de los escenarios, con una ligera inclinación en el balance de beneficios hacia LAP. La menor incidencia de infección del lecho quirúrgico, la estancia más corta, las puntuaciones de dolor más bajas y la recuperación más rápida compensan con creces el costo marginalmente más alto. Ante este escenario, varios estudios han comparado estas alternativas. Esta revisión tiene como objetivo comparar las tasas de complicaciones y los costos asociados de OAP versus LAP para brindar una conclusión clara sobre cuál es la mejor alternativa para tratar la apendicitis. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Latinoamericana de Hipertensión is the property of Revista Latinoamericana de Hipertension and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 164821134 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Laparoscopic vs conventional open surgery in appendicitis: where are we standing? – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Cirugía abierta convencional vs laparoscópica en apenditicis: ¿dónde estamos? – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Villacrés%2C+Bermeo%22">Villacrés, Bermeo</searchLink><relatesTo>1</relatesTo><i> alfonso.bermeo@espoch.edu.ec</i><br /><searchLink fieldCode="AR" term="%22Jara+Orna%2C+Luis+Medardo%22">Jara Orna, Luis Medardo</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Almeida+Alvarado%2C+Jhoanna+Cristina%22">Almeida Alvarado, Jhoanna Cristina</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Carrillo+Sañay%2C+Maritza+Verónica%22">Carrillo Sañay, Maritza Verónica</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Carrasco+Bonilla%2C+María+Belén%22">Carrasco Bonilla, María Belén</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Paucar+Moromenacho%2C+Johanna+Andrea%22">Paucar Moromenacho, Johanna Andrea</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Iza+Salaza%2C+José+Davis%22">Iza Salaza, José Davis</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Cardozo+Cabezas%2C+Lisbeth+Carolina%22">Cardozo Cabezas, Lisbeth Carolina</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22del+Carmen+Quinga+Gómez%2C+Paulina%22">del Carmen Quinga Gómez, Paulina</searchLink><relatesTo>7</relatesTo><br /><searchLink fieldCode="AR" term="%22Peñaranda+Ayala%2C+Katerine+Nicole%22">Peñaranda Ayala, Katerine Nicole</searchLink><relatesTo>8</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Latinoamericana+de+Hipertensión%22">Revista Latinoamericana de Hipertensión</searchLink>. 2023, Vol. 18 Issue 3, p119-123. 5p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22APPENDICITIS%22">APPENDICITIS</searchLink><br /><searchLink fieldCode="DE" term="%22SURGICAL+indications%22">SURGICAL indications</searchLink><br /><searchLink fieldCode="DE" term="%22LAPAROSCOPIC+surgery%22">LAPAROSCOPIC surgery</searchLink><br /><searchLink fieldCode="DE" term="%22CHILD+patients%22">CHILD patients</searchLink><br /><searchLink fieldCode="DE" term="%22OPERATIVE+surgery%22">OPERATIVE surgery</searchLink><br /><searchLink fieldCode="DE" term="%22LENGTH+of+stay+in+hospitals%22">LENGTH of stay in hospitals</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Appendicitis is one of the most frequent indications for surgical intervention, mostly in the pediatric population and, to a lesser degree, in adults. Conventionally, the surgical approach to appendicitis has been the gold standard for over a century, providing the highest success ratio. However, as with every surgical procedure, it may have complications. The technique for appendectomy has evolved in the past decades to decrease the incidence of complications, resulting in two great variants: open appendectomy (OAP) and laparoscopic appendectomy (LAP). Several aspects remain controversial when comparing these alternatives, including adverse events, pain scores, length of hospital stay, recovery time, and costs. Current evidence suggests that LAP has been widely adopted, providing great results. However, some authors have stated that the associated complications do not outweigh the inherent risks, speaking particularly of the IAA. Nonetheless, current, high-quality evidence reports that LAP and OAP are almost equally safe in most scenarios, with a slight tilt in the benefits balance towards the LAP. The lower incidence of SSI, shorter length of stay, lower pain scores, and faster recovery more than make up for the marginally higher cost. Given this scenario, several studies have compared these alternatives. This review aims to compare the complication rates and associated costs of OAP vs. LAP to provide a clear conclusion as to which is the best alternative to treat appendicitis. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: La apendicitis es una de las indicaciones más frecuentes de intervención quirúrgica, mayoritariamente en la población pediátrica y, en menor medida, en la adulta. Convencionalmente, el abordaje quirúrgico de la apendicitis ha sido el estándar de oro durante más de un siglo, brindando la tasa de éxito más alta. Sin embargo, como todo procedimiento quirúrgico, puede tener complicaciones. La técnica de apendicectomía ha evolucionado en las últimas décadas para disminuir la incidencia de complicaciones, dando como resultado dos grandes variantes: apendicectomía abierta (OAP) y apendicectomía laparoscópica (LAP). Varios aspectos siguen siendo controvertidos cuando se comparan estas alternativas, incluidos los eventos adversos, las puntuaciones de dolor, la duración de la estancia hospitalaria, el tiempo de recuperación y los costos. La evidencia actual sugiere que LAP ha sido ampliamente adoptada, proporcionando excelentes resultados. Sin embargo, algunos autores han afirmado que las complicaciones asociadas no superan los riesgos inherentes, hablando en particular del absceso intraabdominal. No obstante, la evidencia actual informa que LAP y OAP son casi igualmente seguros en la mayoría de los escenarios, con una ligera inclinación en el balance de beneficios hacia LAP. La menor incidencia de infección del lecho quirúrgico, la estancia más corta, las puntuaciones de dolor más bajas y la recuperación más rápida compensan con creces el costo marginalmente más alto. Ante este escenario, varios estudios han comparado estas alternativas. Esta revisión tiene como objetivo comparar las tasas de complicaciones y los costos asociados de OAP versus LAP para brindar una conclusión clara sobre cuál es la mejor alternativa para tratar la apendicitis. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Latinoamericana de Hipertensión is the property of Revista Latinoamericana de Hipertension and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.5281/zenodo.8050816 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 5 StartPage: 119 Subjects: – SubjectFull: APPENDICITIS Type: general – SubjectFull: SURGICAL indications Type: general – SubjectFull: LAPAROSCOPIC surgery Type: general – SubjectFull: CHILD patients Type: general – SubjectFull: OPERATIVE surgery Type: general – SubjectFull: LENGTH of stay in hospitals Type: general Titles: – TitleFull: Laparoscopic vs conventional open surgery in appendicitis: where are we standing? Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Villacrés, Bermeo – PersonEntity: Name: NameFull: Jara Orna, Luis Medardo – PersonEntity: Name: NameFull: Almeida Alvarado, Jhoanna Cristina – PersonEntity: Name: NameFull: Carrillo Sañay, Maritza Verónica – PersonEntity: Name: NameFull: Carrasco Bonilla, María Belén – PersonEntity: Name: NameFull: Paucar Moromenacho, Johanna Andrea – PersonEntity: Name: NameFull: Iza Salaza, José Davis – PersonEntity: Name: NameFull: Cardozo Cabezas, Lisbeth Carolina – PersonEntity: Name: NameFull: del Carmen Quinga Gómez, Paulina – PersonEntity: Name: NameFull: Peñaranda Ayala, Katerine Nicole IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: 2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 18564550 Numbering: – Type: volume Value: 18 – Type: issue Value: 3 Titles: – TitleFull: Revista Latinoamericana de Hipertensión Type: main |
| ResultId | 1 |
