Guidelines for Laparoscopic Appendectomy | Society of American Gastrointestinal and Endoscopic Surgeons

Guidelines for Laparoscopic Appendectomy

Practice/Clinical Guidelines published on: 04/2009
by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

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SAGES GUIDELINE FOR LAPAROSCOPIC APPENDECTOMY
I. Preamble
The laparoscopic approach to appendectomy has gained wide acceptance over the last 15 years as a means of improved diagnostic accuracy and wound complication rate over the open procedure. Despite a breadth of data and widespread adoption of the technique, there continues to be controversy regarding the advantages of this approach in hastening postoperative recovery, as well as its use in the management of complicated appendicitis. The following guidelines provide recommendations to surgeons for the laparoscopic management of patients with both simple and complicated appendicitis.

II. Disclaimer
Guidelines for clinical practice are intended to indicate preferable approaches to medical problems as established by experts in the field. These recommendations will be based on existing data or a consensus of expert opinion when little or no data are available. Guidelines are applicable to all physicians who address the clinical problem(s) without regard to specialty training or interests, and are intended to indicate the preferable, but not necessarily the only acceptable approaches. Guidelines are intended to be flexible. Given the wide range of specifics in any health care problem, the surgeon must always choose the course best suited to the individual patient and the variables in existence at the moment of decision.

Guidelines are developed under the auspices of the Society of American Gastrointestinal Endoscopic Surgeons and its various committees, and approved by the Board of Governors. Each clinical practice guideline has been systematically researched, reviewed and revised by the guidelines committee, and reviewed by an appropriate multidisciplinary team. The recommendations are therefore considered valid at the time of its production based on the data available. Each guideline is scheduled for periodic review to allow incorporation of pertinent new developments in medical research knowledge, and practice.

III. Definitions
See SAGES The Definitions Document: A Reference for Use of SAGES Guidelines (01/2009)

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