Competitive edge of laparoscopic appendectomy versus XXXX : a subgroup comparison analysis.

@entity1 @entity697 @entity1538 @entity698 @entity532 @entity281
BACKGROUND: With the advances in laparoscopic instruments and surgical techniques, the use of laparoscopic appendectomy (LA) has been increasing rapidly in recent years. In this retrospective analysis, we aimed to determine the competitive edge of LA versus @entity1538 ( @entity1538 ) in different settings of disease complexity, gender, and age difference. METHODS: A retrospective analysis of the @entity1 diagnosed with @entity697 at Changhua and Chang-Bing Show-Chwan Memorial Hospitals from January 1, 2004 to December 31, 2009 was conducted. Trend and indication of @entity1538 and LA were recorded, combined with a comparison of medical costs, complication rates, wound @entity281 rates, and hospital stays in different settings of disease complexity, gender, and age group. RESULTS: A total of 1366 @entity698 @entity1 were enrolled, and the rate of LA use increased rapidly, from 8.1% in 2004 to 90.3% in 2009. The increased use of LA was seen in both the uncomplicated and @entity532 @entity1 and in both gender and age groups (pediatric, adult, and elderly). Compared with @entity1538 , LA was associated with a lower complication rate (9.5% versus 5.8%; P   =   .013), a lower wound @entity281 rate (8.6% versus 4.2%; P   =   .001), and a shorter hospital stay (4.60        3.64 versus 4.06        1.84 days; P   =   .001), but a higher mean cost (32,670        28,568 versus 37,567        12,064 New Taiwan dollars). In the subgroup analysis, the @entity1 with @entity532 , female @entity1 , and pediatric and elderly @entity1 benefited from a reduced hospital stay. LA is about 15% more expensive than @entity1538 . CONCLUSIONS: LA is as safe and effective as @entity1538 in many settings of @entity698 and may be selectively advantageous in @entity1 with @entity532 and in elderly subgroups.
