Therefore we conclude that appendectomy remains the st and ard treatment for acute appendicitis .
BACKGROUND Acute appendicitis is one of the most common causes of acute abdominal pain .
Present day treatment of choice for acute appendicitis is appendectomy , however complications are inherent to operative treatment .
Though surgical appendectomy remains the st and ard treatment , several investigators have investigated conservative antibiotic treatment of acute appendicitis and reported good results .
OBJECTIVES Is antibiotic treatment as effective as surgical appendectomy ( laparoscopic or open ) in patients with acute appendicitis on recovery within two weeks , without major complications ( including recurrence ) within one year ?
Laparoscopic Versus Open Appendectomy: Outcomes Comparison Based on a Large Administrative Database
Objective : To compare length of hospital stay , in-hospital complications , in-hospital mortality , and rate of routine discharge between  laparoscopic and open appendectomy  based on a representative , nationwide data base . Summary Background Data : Numerous single-institutional r and omized clinical trials have assessed the efficacy of laparoscopic and open appendectomy . The results , however , are conflicting , and a consensus concerning the relative advantages of each procedure has not yet been reached . Methods : Patients with primary ICD-9 procedure codes for laparoscopic and open appendectomy were selected from the 1997 Nationwide Inpatient Sample , a data base that approximates 20 % of all US community hospital discharges .  Multiple linear and logistic regression analyses were used to assess the risk-adjusted endpoints . Results : Discharge abstract s of 43,757 patients were used for our analyses . 7618 patients ( 17.4 % ) underwent laparoscopic and 36,139 patients ( 82.6 % ) open appendectomy . Patients had an average age of 30.7 years and were predominantly white ( 58.1 % ) and male ( 58.6 % ) . After adjusting for other covariates , laparoscopic appendectomy was associated with shorter median hospital stay  ( laparoscopic appendectomy : 2.06 days , open appendectomy : 2.88 days , P < 0.0001 ) , lower rate of infections ( odds ratio [ OR ] = 0.5 [ 0.38 , 0.66 ] , P < 0.0001 ) , decreased gastrointestinal complications ( OR = 0.8 [ 0.68 , 0.96 ] , P = 0.02 ) , lower overall complications ( OR = 0.84 [ 0.75 , 0.94 ] , P = 0.002 ) , and higher rate of routine discharge ( OR = 3.22 [ 2.47 , 4.46 ] , P < 0.0001 ) . Conclusions : Laparoscopic appendectomy has significant advantages over open appendectomy with respect to length of hospital stay , rate of routine discharge , and postoperative in-hospital morbidity
Therefore we conclude that appendectomy remains the st and ard treatment for acute appendicitis .
BACKGROUND Acute appendicitis is one of the most common causes of acute abdominal pain .
Present day treatment of choice for acute appendicitis is appendectomy , however complications are inherent to operative treatment .
Though surgical appendectomy remains the st and ard treatment , several investigators have investigated conservative antibiotic treatment of acute appendicitis and reported good results .
OBJECTIVES Is antibiotic treatment as effective as surgical appendectomy ( laparoscopic or open ) in patients with acute appendicitis on recovery within two weeks , without major complications ( including recurrence ) within one year ?