title: Day Surgery for Acute Appendicitis in Adults: A Prospective Series of 102 Patients.
abstract: OBJECTIVE
  To report the results of a consecutive series of day surgery appendectomy (DSA) for acute appendicitis.
  
  
  METHODS
  Selection criteria for DSA were as follows: body mass index<28 kg/m, white cell count <15,000/mL, C-reactive protein<30 mg/L, no radiological signs of perforation, and appendix diameter ≤10 mm. All patients with radiologically proven appendicitis and 4 or 5 criteria were proposed for DSA and prospectively included.
  
  
  RESULTS
  A total of 102 patients (female=39.2%) were operated between January 1, 2013 and January 5, 2015 with a median age of 29.5 years [interquartile range (IQR), 23 to 37 y]. Diagnosis was mainly supported by computed tomographic scan (75.5%). About 60 patients (59%) were reconvened on the next morning for surgery with oral antibiotics. The median operative time was 40 minutes (IQR, 30 to 52 min), and 92 (90%) patients were discharged on day 0 after a postoperative period of 5h:12min (IQR, 4h:14min to 6h:33min). The overall median hospital length of stay was 8h:04min (IQR, 6h:46min to 10h:23min). Surgical morbidity was 6.9% (n=7), with 1.9% (n=2) major complications.
  
  
  CONCLUSIONS
  DSA is a safe procedure for selected patients; it reduces the hospital length of stay without increasing morbidity.
authors.affiliation: *Department of General and Digestive Surgery, Hôpital Saint Antoine (AP-HP), Paris VI University †Department of General and Digestive Surgery, Hôpital Kremlin-Bicetre (AP-HP), Paris XI University, Paris, France.
authors.forename: Christian
authors.initials: C
authors.lastname: Hobeika
authors.forename: Thevy
authors.initials: T
authors.lastname: Hor
authors.forename: Nathalie
authors.initials: N
authors.lastname: Chereau
authors.forename: Anais
authors.initials: A
authors.lastname: Laforest
authors.forename: Radu
authors.initials: R
authors.lastname: Bachmann
authors.forename: Isabelle
authors.initials: I
authors.lastname: Sourouille
authors.forename: Najim
authors.initials: N
authors.lastname: Chafai
authors.forename: Yann
authors.initials: Y
authors.lastname: Parc
authors.forename: Marc
authors.initials: M
authors.lastname: Beaussier
authors.forename: Jérémie H
authors.initials: JH
authors.lastname: Lefèvre
mesh_terms: D000208:Acute Disease; D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000379:methods*; D001062:Appendectomy / Q000379:methods*; D001064:Appendicitis / Q000000981:diagnostic imaging / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D061646:Operative Time; D011182:Postoperative Care; D011446:Prospective Studies; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D055815:Young Adult