Editorial
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World J Gastroenterol. Dec 21, 2013; 19(47): 8799-8807
Published online Dec 21, 2013. doi: 10.3748/wjg.v19.i47.8799
Acute appendicitis: What is the gold standard of treatment?
Cesare Ruffolo, Alain Fiorot, Giulia Pagura, Michele Antoniutti, Marco Massani, Ezio Caratozzolo, Luca Bonariol, Francesco Calia di Pinto, Nicolò Bassi
Cesare Ruffolo, Alain Fiorot, Giulia Pagura, Michele Antoniutti, Marco Massani, Ezio Caratozzolo, Luca Bonariol, Francesco Calia di Pinto, Nicolò Bassi, II Deparment of Surgery (IV Unit), Regional Hospital “Ca’ Foncello”, 31100 Treviso, Italy
Author contributions: Fiorot A and Pagura G equally contributed to this paper; all authors contributed to conception and design, acquisition of data, draft and revision of the article and final approval of the version to be published.
Correspondence to: Cesare Ruffolo, MD, PhD, II Deparment of Surgery (IV Unit), Regional Hospital “Ca’ Foncello”, Piazza Ospedale 1, 31100 Treviso, Italy. cruffolo@hotmail.com
Telephone: +39-422-322480 Fax: +39-422-322480
Received: June 3, 2013
Revised: September 20, 2013
Accepted: October 19, 2013
Published online: December 21, 2013
Abstract

McBurney’s procedure represented the gold-standard for acute appendicitis until 1981, but nowadays the number of laparoscopic appendectomies has progressively increased since it has been demonstrated to be a safe procedure, with excellent cosmetic results and it also allows a shorter hospitalization, a quicker and less painful postoperative recovery. The aim of this editorial was to perform a review of the literature in order to address controversial issues in the treatment of acute appendicitis.

Keywords: Acute appendicitis, Surgery, Laparoscopy

Core tip: There are still controversial issues in the treatment of acute appendicitis such as comparison between laparoscopic and open appendectomy and the correct approach in special categories of patients. The aim of this editorial was to perform a review of the literature in order to address controversial issues in the treatment of acute appendicitis.