26vzmnrw081 10.3205/26vzmnrw081 urn:nbn:de:0183-26vzmnrw0818 Meeting Abstract Lieth Lieth F. F

Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf, Deutschland

author Carpen Carpen A. A

Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf, Deutschland

author Jaber Jaber K. K

Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf, Deutschland

author Fung Fung S. S

Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf, Deutschland

author Knoefel Knoefel W. T. WT

Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf, Deutschland

author Fluegen Fluegen G. G

Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf, Deutschland

author German Medical Science GMS Publishing House

Düsseldorf

610 20260618 engl This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). M0644 081 Niederrheinisch-Westfälische Gesellschaft für Chirurgie Gesellschaft für Gastroenterologie in Nordrhein-Westfalen e.V. 192. Jahrestagung der Niederrheinisch-Westfälischen Gesellschaft für Chirurgie, 34. Jahrestagung der Gesellschaft für Gastroenterologie Viszeralmedizin NRW 2026 Chirurgie Dortmund 20260618 20260619 081 TextBackground and objective: Laparoscopic appendectomy (LA) is firmly established as the gold standard of resection for acute appendicitis, with open approaches mostly used for salvage procedures. This study explores whether a primary open approach still holds a place in modern surgical practice. As one of few university hospitals in Germany regularly performing open appendectomy via a cosmetically superior minimal access approach, we want to present our data on patient selection and safety to advocate consideration of this refined approach in the surgical armamentarium.Method: We retrospectively analyzed all cases of appendicitis undergoing surgical treatment at the University Hospital Düsseldorf between 2010 and 2021 and focused on all cases in which appendicitis was treated via laparoscic or open minimal access appendectomy (MAA). Patient data were evaluated for demographics (sex, age and BMI), clinical presentation on admission, laboratory findings, BMI, modified Alvarado Score, postoperative complications, and length of stay.Result: Patients undergoing LA had a higher average BMI (28 kg/m²) and were predominantly female (60.8%), whereas the MAA group showed a lower average BMI (25 kg/m²) and was 59.9% male. Patients of the MAA group presented with higher inflammatory markers and lower rates of haematuria. MAA was associated with a significantly shorter length of stay in patients under the age of 45. No difference in postoperative complication rates was observed between the groups.Summary: Open minimal access appendectomy represents a safe and cost-effective treatment option in selected patients aiming for a cosmetically appealing result. While our data indicate a selection bias toward male patients and lower BMI, the decision-making process for this procedure remains highly individualized and largely dependent on surgical experience. 0 0 0 0