A comparison of outcomes between laparoscopic and open appendectomy in Canada | Zendy

Christopher Blackmore | Zendy; Divine Tanyingo | Zendy; Gilaad G. Kaplan | Zendy; Elijah Dixon | Zendy; Anthony R. MacLean | Zendy; Chad G. Ball | Zendy

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A comparison of outcomes between laparoscopic and open appendectomy in Canada

Author(s) -

Christopher Blackmore,

Divine Tanyingo,

Gilaad G. Kaplan,

Elijah Dixon,

Anthony R. MacLean,

Chad G. Ball

Publication year - 2015

Publication title -

canadian journal of surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.609

H-Index - 64

eISSN - 1488-2310

pISSN - 0008-428X

DOI - 10.1503/cjs.012715

Subject(s) - medicine , odds , odds ratio , appendicitis , general surgery , complication , laparoscopy , surgery , logistic regression

The benefit of a laparoscopic approach to appendectomy continues to be debated. We compared laparoscopic (LA) with open appendectomy (OA) for appendicitis in Canada using the Canadian Institute for Health Information database (2004-2008). The odds of female patients undergoing LA were 1.26 times higher than the odds of male patients, and the odds of patients with nonperforated pathology undergoing LA were 1.38 times higher than the odds of those with perforated pathology. Increasing comorbidities were associated with OA. While LA is becoming more frequent, the associated length of stay, postoperative complication rate and mortality are clearly lower than for OA. As a result, we support the continued increase in use of LA with regard to both safety and outcomes.

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