title: Laparoscopic appendectomy: quality care and cost-effectiveness for today's economy.
abstract: BACKGROUND
  Open appendectomy (OA) has traditionally been the treatment for acute appendicitis (AA). Beneficial effects of laparoscopic appendectomy (LA) for the treatment of AA are still controversial.
  
  
  OBJECTIVE
  To present our technique for LA and to determine whether LA should be the technique of choice of any case of AA instead of OA.
  
  
  METHODS
  All cases operated for AA (February 2011 through February 2012) by means of LA or OA were prospectively evaluated. Data regarding length of stay, complications, emergency department consultation after discharge or readmission were collected. Patients were classified into four groups depending on the severity of the appendicitis. Economic data were obtained based on the cost of the disposable material. Cost of hospital stay was calculated based on the Ley de Tasas of the Generalitat Valenciana according to the DRG and the length of stay.
  
  
  RESULTS
  One hundred and forty-two cases were included. Ninety-nine patients underwent OA and 43 LA. Average length of stay for LA group was 2,6 days and 3,8 for OA. Average cost of the stay for OA was 1.799 euros and 1.081 euros for LA. Global morbidity rate was 16%, 5% for LA and 20% for OA.
  
  
  CONCLUSIONS
  LA is nowadays the technique of choice for the treatment of AA.
authors.affiliation: Department of Surgery, Marina Baixa Medical Center, 7 Alcalde Jaume Botella Mayor street, Villajoyosa, Alicante, Spain. dcostacir@gmail.com.
authors.forename: David
authors.initials: D
authors.lastname: Costa-Navarro
authors.forename: Montiel
authors.initials: M
authors.lastname: Jiménez-Fuertes
authors.forename: Azahara
authors.initials: A
authors.lastname: Illán-Riquelme