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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jan 27, 2026; 18(1): 114336
Published online Jan 27, 2026. doi: 10.4240/wjgs.v18.i1.114336
Published online Jan 27, 2026. doi: 10.4240/wjgs.v18.i1.114336
Timing of laparoscopic appendectomy and impacts on outcomes: A retrospective study of patients across in-hours, after-hours and holidays
Murat Demir, Baki Ekci, Sadik Peker, Ali Bekraki, Ali Levent Isik, Huseyin Kilavuz, Idris Kurtulus, Department of General Surgery, Basaksehir Cam and Sakura City Hospital, Basaksehir 34480, Istanbul, Türkiye
Co-corresponding authors: Murat Demir and Huseyin Kilavuz.
Author contributions: Demir M, Ekci B and Kurtulus I conceptualized the study; Demir M, Kilavuz H and Kurtulus I developed the methodology; Demir M, Peker S and Isik AL were responsible for software; Demir M, Kilavuz H, Peker S and Bekraki A performed validation; Demir M, Ekci B and Bekraki A conducted formal analysis; Ekci B, Isik AL and Bekraki A provided resources; Demir M, Isik AL and Peker S curated the data; Demir M prepared the original draft; Ekci B, Kilavuz H and Kurtulus I reviewed and edited the manuscript; Ekci B handled visualization; Ekci B and Kurtulus I supervised and administered the project. All authors have read and agreed to the published version of the manuscript. Demir M and Kilavuz H contributed equally to this article, they are the co-corresponding authors of this manuscript. Demir M and Kilavuz H were both deeply involved in the study’s development, coordination, and refinement from its initial conception through the final submission. Kilavuz H also played an important role in guiding the communication process with the journal and provided valuable support based on his previous experience as a reviewer. Given their equal intellectual input and complementary responsibilities, assigning both individuals as co-corresponding authors ensures a fair and transparent acknowledgment of their contributions and reflects the collaborative character of the research.
Institutional review board statement: This study was approved by the Ethics Committee of Cam and Sakura City Hospital (Approval Code: 2025/151, Approval Date: 07 May 2025).
Informed consent statement: All patients were informed about the surgical procedures before surgery and signed an informed consent form.
Conflict-of-interest statement: The author reports no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: Participants gave informed consent for data sharing, and the presented data are fully anonymized. Technical appendix, statistical code, and dataset are available from the corresponding author at [muratdemir57@gmail.com].
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Murat Demir, MD, Consultant, Department of General Surgery, Basaksehir Cam and Sakura City Hospital, G-434 Street No. 2L, Basaksehir 34480, Istanbul, Türkiye. muratdemir57@gmail.com
Received: September 17, 2025
Revised: October 27, 2025
Accepted: November 20, 2025
Published online: January 27, 2026
Processing time: 126 Days and 22.9 Hours
Revised: October 27, 2025
Accepted: November 20, 2025
Published online: January 27, 2026
Processing time: 126 Days and 22.9 Hours
Core Tip
Core Tip: The timing of laparoscopic appendectomy-whether during in-hours, after-hours, or weekends-does not negatively influence outcomes in well-organized tertiary centers. When performed in adequately staffed settings, weekend or holiday procedures are safe and may even allow faster surgical access. The principal factor affecting patient outcomes is surgical delay rather than the specific working hour.