{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T12:19:53Z","timestamp":1778069993353,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Acute appendicitis (AA) is one of the most common surgical conditions presenting as acute abdomen. Delaying appendectomy can increase the risk of perforation. However, patients admitted or treated at night have been found to have higher complication rates compared to those treated during the daytime. This study aims to investigate whether the time of day of laparoscopic appendectomy for AA has a significant effect on morbidity and mortality rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Patients over 18 years of age who underwent laparoscopic appendectomy for uncomplicated AA at the General Surgery Clinic of Mersin University Hospital between 01.01.2020 and 31.12.2024 were retrospectively reviewed. Patients were analyzed according to age, gender, comorbidities, medication use, operative time, duration of pain, need for postoperative intensive care, preoperative laboratory values, time of diagnosis, postoperative complications, and time of surgery, categorized as daytime (08:00\u201317:00) and nighttime (17:00\u201308:00). Postoperative complications were compared between patients operated on during daytime and nighttime.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The study was completed with a total of 172 patients. The mean age was 32 (range 18\u201386). Of the patients, 100 (58.1%) were male. The time of diagnosis was during the day for 78 (45.3%) patients. Based on the time of surgery, 103 (59.9%) were performed during the daytime and 69 (40.1%) at nighttime. Univariate analyses found no statistically significant relationship between postoperative complications and the time of operation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our study showed that in patients undergoing laparoscopic appendectomy for uncomplicated appendicitis, surgery performed during daytime or nighttime hours yielded similar results in terms of complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261428956","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T12:54:51Z","timestamp":1773320091000},"page":"372-375","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Operative Timing on Postoperative Complications in Laparoscopic Appendectomy for Uncomplicated Acute Appendicitis: A Retrospective Cohort Study"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0389-0523","authenticated-orcid":false,"given":"Hilmi","family":"Bozkurt","sequence":"first","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine, Mersin University, Mersin, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melih","family":"Ta\u015fk\u0131n","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine, Mersin University, Mersin, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cumhur","family":"\u00d6zcan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine, Mersin University, Mersin, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tahsin","family":"\u00c7olak","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine, Mersin University, Mersin, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.4274\/tjcd.galenos.2021.2021-3-2"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-023-02395-6"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.17826\/cumj.1579843"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.4174\/astr.2016.91.2.85"},{"issue":"2","key":"e_1_3_2_6_1","first-page":"65","article-title":"Does time to antibiotic initiation and surgery have an impact on acute appendicitis results? \u00bfInfluye el tiempo hasta el inicio de la antibioterapia y la intervenci\u00f3n en los resultados de la apendicitis aguda?","volume":"33","author":"Mu\u00f1oz-Serrano AJ","year":"2020","unstructured":"5.Mu\u00f1oz-Serrano AJ, , Delgado-Miguel C, , N\u00fa\u00f1ez Cerezo V, et al. Does time to antibiotic initiation and surgery have an impact on acute appendicitis results? \u00bfInfluye el tiempo hasta el inicio de la antibioterapia y la intervenci\u00f3n en los resultados de la apendicitis aguda? Cir Pediatr 2020;33(2):65\u201370.","journal-title":"Cir Pediatr"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-023-05369-2"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa041406"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2010.05642.x"},{"key":"e_1_3_2_10_1","first-page":"43","article-title":"Assessment of surgeon fatigue by surgical simulators","volume":"8","author":"Tuwairqi K","year":"2015","unstructured":"9.Tuwairqi K, , Selter JH, , Sikder S. Assessment of surgeon fatigue by surgical simulators. Open Access Surg 2015;8:43\u201350.","journal-title":"Open Access Surg"},{"issue":"5","key":"e_1_3_2_11_1","first-page":"518","article-title":"Proposed classification of complications of surgery with examples of utility in cholecystectomy","volume":"111","author":"Clavien PA","year":"1992","unstructured":"10.Clavien PA, , Sanabria JR, , Strasberg SM. Proposed classification of complications of surgery with examples of utility in cholecystectomy. Surgery 1992;111(5):518\u2013526.","journal-title":"Surgery"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12953"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2010.184"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000231726.53487.dd"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2016.03.025"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-8-3"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.3393\/ac.2018.34.1.11"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2020.02.001"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1457496920938605"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261428956","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10926429261428956","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261428956","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T11:48:21Z","timestamp":1778068101000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10926429261428956"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,12]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5,1]]}},"alternative-id":["10.1177\/10926429261428956"],"URL":"https:\/\/doi.org\/10.1177\/10926429261428956","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,12]]}}}