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National audits can be valuable to provide insight into outcomes following appendicectomy at a population level.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A prospective, observational, resident-led, nationwide audit was carried out over a period of 2 months, including all consecutive adult patients who had surgery for suspected acute appendicitis. Complications after laparoscopic and open appendicectomy were compared by means of logistic regression analysis; subgroup analyses were performed for patients with complicated appendicitis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 1975 patients were included from 62 participating Dutch hospitals. A normal appendix was seen in 3\u00b73 per cent of patients. Appendicectomy was performed for acute appendicitis in 1378 patients, who were analysed. All but three patients underwent preoperative imaging. Laparoscopy was used in 79\u00b75 per cent of patients; the conversion rate was 3\u00b74 per cent. A histologically normal appendix was found in 2\u00b72 per cent. Superficial surgical-site infection was less common in the laparoscopic group (odds ratio 0\u00b725, 95 per cent c.i. 0\u00b714 to 0\u00b744; P &amp;lt; 0\u00b7001). The rate of intra-abdominal abscess formation was not significantly different following laparoscopic or open surgery (odds ratio 1\u00b771, 0\u00b780 to 3\u00b763; P = 0\u00b7166). Similar findings were observed in patients with complicated appendicitis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Management of acute appendicitis in the Netherlands is preferably performed laparoscopically, characterized by a low conversion rate. Fewer superficial surgical-site infections occurred with laparoscopy, although the rate of abscess formation was no different from that following open surgery. 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