The Question: How do the outcomes of laparoscopic appendectomies (LA) compare to those of traditional open appendectomies (OA)?

The Study: The charts of 7,650 children who underwent an appendectomy (3551 LAs and 4099 OAs) were reviewed. The researchers looked for any complications during the 30 days after the surgery (wound infection, abscess and readmission) and length of hospital stay.

The Results: Laparoscopic appendectomies resulted in a significantly decreased risk of wound infection, abscess formation and total length of hospitalization.

Comment: The rate of LA increased from 22% of all childhood appendectomies in 1988 to 70% in 2007—and it’s probably higher now. It’s a quick procedure that less traumatic to the patient and the procedure of choice unless there are extenuating circumstances.