Randomized controlled trial of appendicectomy versus antibiotic therapy for acute appendicitis
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is low and all patients are treated with preoperative antibiotics1-3. The advantages are not as self-evident as in laparoscopic cholecystectomy. Larger randomized studies are needed to evaluate laparoscopy versus laparotomy in acute appendicitis.
[1] Randall W. Smith,et al. A Prospective Randomized Trial Comparing Open Versus Laparoscopic Appendectomy , 1994, Annals of surgery.
[2] T. Gorey,et al. Laparoscopic versus open appendicectomy , 1991, The Lancet.