Table 2.
Outcomes after open and laparoscopic appendectomy
| Non-laparoscopic surgeons | Laparoscopic surgeons | |
|---|---|---|
| Laparoscopic appendectomy | n = 427 | n = 847 |
| ASA I–IIa | 91% | 91% |
| Complicated appendicitis | 21% | 25% |
| Operation time, minutes (min–max) | 42 (13–144) | 37 (11–137) (p < 0.001) |
| Intraoperative bleeding, ml (min–max) | < 5 (0–300) | < 5 (0–510) |
| Morbidity | 5.9% | 3.2% (p = 0.023) |
| SSSIb | 0.7% | 0.5% |
| O/SSSIc | 4.2% | 1.5% (p = 0.003) |
| O/SSSI (C–Dd III–IV) | 2.6% | 0.8% (p = 0.012) |
| Ileus | 0.9% | 0.1% (p = 0.027) |
| Bleeding | 0.0% | 0.2% |
| Pneumonia | 0.0% | 0.5% |
| Other | 0.2% | 0.4% |
| 30-day mortality | 0.0% | 0.1% |
| Open appendectomy | n = 181 | n = 105 |
| ASA I–IIa | 85% | 86% |
| Complicated appendicitis | 31% | 35% |
| Operation time, minutes (min–max) | 34 (29–213) | 30 (18–58) |
| Intraoperative bleeding, ml (min–max) | < 5 (0–100) | < 5 (0–10) |
| Morbidity | 6.6% | 1.9% |
| SSSIb | 0.6% | 1.9% |
| O/SSSIc | 1.7% | 0.0% |
| O/SSSI (C–Dd III–IV) | 0.6% | 0.0% |
| Ileus | 2.8% | 0.0% |
| Bleeding | 0.6% | 0.0% |
| Pneumonia | 1.1% | 0.0% |
| Other | 1.1% | 0.0% |
| 30-day mortality | 0.0% | 1.0% |
aASA: American Society of Anesthesiologists classification
bSSSI: Superficial surgical site infection
cO/SSI: Organ/space surgical site infection
d–-D: Clavien–Dindo classification