The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database has yielded some great ammunition to my preferred side in the ongoing open/laparoscopic appendectomy (OA/LA) debate. In this paper, over 17,000 cases of appendicitis were reviewed from 2008. Interestingly, over 14,000 of the appendectomies were performed laparoscopically, indicating a sea change in OR strategy on a wide scale. Pertinent findings:
*Shorter OR time for LA
*Lower incidence of superficial and deep surgical site infections with LA
*Shorter hospital stay for LA
*Significantly lower mortality in the LA group
Finally, the surgical literature is catching up with the facts on the ground. For the life of me, I just don't understand why any surgeon would want to make a McBurney incision anymore.