title: Is laparoscopic appendectomy going to be standard procedure for acute appendicitis; a 5-year single center experience with 1,788 patients.
abstract: OBJECTIVE
  To evaluate whether laparoscopic appendectomy can be the gold standard for acute appendicitis regarding the applicability and cost effectivity.
  
  
  METHODS
  The study included patients who were operated by laparoscopically for acute appendicitis between January 2008 and September 2012. Patients' sex, ages, hospitalization time, the type for closure of the appendiceal stump, complication rate, surgery time and other parameters were recorded.
  
  
  RESULTS
  1,788 patients with acute appendicitis on laparoscopic evaluation constituted the study population. Average age of the patient group was 30.1 ± 2.3 years old. Average hospitalization time was 1.2 ± 1.1 days. Metal clips were used in 1,100 (61.5%) patients, intracorporeal knotting was performed in the remaining. Total complication rate was 3.8%.
  
  
  CONCLUSIONS
  By the using of metal clips and increased experience; laparoscopy may be gold standard for acute appendicitis.
authors.affiliation: General Surgery Department, Dr. Sadi Konuk Training and Research Hospital, Bakırköy, Istanbul, Turkey, msametbozkurt@yahoo.com.
authors.forename: M A
authors.initials: MA
authors.lastname: Bozkurt
authors.forename: M G
authors.initials: MG
authors.lastname: Unsal
authors.forename: S
authors.initials: S
authors.lastname: Kapan
authors.forename: M
authors.initials: M
authors.lastname: Gonenc
authors.forename: M
authors.initials: M
authors.lastname: Dogan
authors.forename: M U
authors.initials: MU
authors.lastname: Kalayci
authors.forename: H
authors.initials: H
authors.lastname: Alis
mesh_terms: D000293:Adolescent; D000328:Adult; D001062:Appendectomy / Q000295:instrumentation / Q000379:methods*; D001064:Appendicitis / Q000601:surgery*; D003362:Cost-Benefit Analysis; D005260:Female; D006488:Hemostasis, Surgical / Q000295:instrumentation*; D006760:Hospitalization; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D017410:Practice Guidelines as Topic; D016896:Treatment Outcome