A Comparative Study Between Same-Day Discharge VS Overnight Stay in Laparoscopic Acute Non-Perforated Appendectomy in a Single Institution

Abstract

Laparoscopic appendectomy has become one of the most common laparoscopic surgery performed in day to day of a surgeon. Advantages outrage far more when compared to open appendectomy and thus the shift from open to minimal access surgery has gained importance considering mainly perioperative period. Small studies done during the past decade have demonstrated same-day discharge after appendectomy as an option for non-perforated appendicitis. Here we have examined a study group to confirm that same-day discharge in acute non-perforated appendicitis is a safe option. All patients older than 18 years of age with acute, non-perforated appendicitis who underwent a laparoscopic appendectomy were included. Compared patients discharged on the day of surgery with patients hospitalized for 1 night and followed up sequentially. The study was composed of 100 patients; 70 patients were in the same-day discharge group and 30 patients were in the hospitalized group. Patients in the same-day discharge group had a lower rate of readmission within 30 days when compared with the hospitalized group (2.2% vs 3.1%; p < 0.005). Postoperative general surgery department visits were slightly higher in the hospitalized group (85% vs 81%; p < 0.001).