A comparison of outcomes between laparoscopic and open appendectomy in Canada

A comparison of outcomes between laparoscopic and open appendectomy in Canada

Can J Surg 2015;58(5):431-432 | PDF

Christopher Blackmore, MD; Divine Tanyingo, BSc; Gilaad G. Kaplan, MD, MPH; Elijah Dixon, MD, MSc; Anthony R. MacLean, MD; Chad G. Ball, MD, MSc

Summary

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.


This paper was presented at the Digestive Diseases Week (DDW) in Chicago, Illinois, 2014.

Accepted for publication Oct. 1, 2015

Affiliations: From the Department of Surgery, University of Calgary, Foothills Medical Centre, Calgary, Alta. (Blackmore, Dixon, MacLean, Ball); and the Department of Medicine, University of Calgary, Foothills Medical Centre, Calgary, Alta. (Tanyingo, Kaplan).

Competing interests: None declared.

Contributors: All authors contributed substantially to the conception, writing and revision of this commentary and approved the final version for publication.

DOI: 10.1503/cjs.012715

Correspondence to: C.G. Ball, University of Calgary, Foothills Medical Centre, 1403 – 29th St. N.W.
Calgary AB., T2N 2T9; ball.chad@gmail.com