Key predictors identified for laparoscopic appendectomy conversion

A systematic review of 45 studies with over 3.2 million cases revealed an 8.7% conversion rate from laparoscopic to open appendectomy. Key risk factors included older age, male gender, and comorbidities such as obesity and diabetes. Other significant predictors were previous abdominal surgery, prolonged symptom duration, and elevated inflammatory markers. This research serves as a guide for surgeons to better assess patient risks preoperatively, thereby enhancing surgical outcomes despite an overall moderate evidence quality.