Prospective randomised comparisons of open and minimal access (MA) surgery
| Procedure | Operation time | Complication rate | Time to discharge | Postoperative pain | Outcome | Recommendations for children | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Favour MA | Favour open | No difference | Favour MA | Favour open | No difference | Favour MA | Favour open | No difference | Favour MA | Favour open | No difference | Favour MA | Favour open | No difference | ||
| Cholecystectomy (all adult) | 23 | 2, 12, 24– 27 | 28– 30 | 1, 31– 34 | 12, 26 | 24, 25, 27, 28, 30 | 12, 23– 31, 35 | 2 | 1, 12, 23– 28, 30, 36 | 25, 30, 37 | Laparoscopy preferable | |||||
| Fundoplication (all adult) | 38 | 39 | 5 | 5, 40, 41 | 38– 40 | 38– 40 | 39 | 5 | 40– 44 | Laparoscopy preferable | ||||||
| Appendicectomy | 16, 17, 45 | 45 | 16, 17 | 17 | 16 | 17 | 16 | Laparoscopy acceptable, but no proven advantage | ||||||||