A prospective, randomized, unicenter study comparing laparoscopic and open treatments of acute appendicitis

Laparoscopic procedures for removal of the appendix by the three-port technique as an alternative to conventional appendicectomy have gained wide popularity, but they have been criticized for technical difficulty, more time consumption, and high cost. We have compared conventional three-port laparoscopic appendicectomy (LA) and laparoscope-assisted appendicectomy (LAA). In period from August 2010 to January 2012, 77 patients underwent appendicectomy by a minimally invasive procedure (39 LA and 38 LAA), at Medical College and Hospital, Kolkata. All the 39 cases of LA were completed successfully, but of the 38 cases, LAA could be completed only in 32 cases. Of the six cases where LAA could not be completed, five were converted to LA [three because of excessive body mass index (BMI) and two because of bleeding]. One case had to be converted to open appendicectomy because of excessive bleeding. In LA, the mean duration of surgery was less than that in LAA (18.18 versus 24.39 min). Wound infections were more common in LAA compared to LA (six versus two). Severe postoperative pain was present in eight cases in LAA compared to two in LA. On day 2, 79.487 % patients undergoing LA were discharged compared to 28.947 % in LAA. LA is better as a minimally invasive procedure. LAA can only be done in patients with lower BMI, is more time consuming, has more complications, more incidence of postoperative pain, wound infections, and longer hospital stay.

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“…It has an added advantage of minimal tissue trauma [19]. It is fast, easy to perform, and expected to decrease overall cost of LA.…”

Section: Discussionmentioning

confidence: 99%

Conventional Laparoscopic Appendicectomy and Laparoscope-Assisted Appendicectomy: a Comparative Study

Baid

Kar

De³

et al. 2013

Indian J Surg

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“…In the prolonged follow-up, symptoms suggesting pericecal abscess, reported in the literature as a serious complication of laparoscopic appendectomy (13), were found in two cases (1.56%). Performed CT imaging of abdominal cavity demonstrated fluid collections …”

Section: Resultsmentioning

confidence: 83%

Laparoscopic Appendectomy as an Alternative to Conventional Procedure – Results in our own Material

Merenda¹,

Litarski²,

Kabziński³

et al. 2013

Polish Journal of Surgery

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“…Many authors foresees Laparoscopic surgery as a reliable future tool for intraabdominal surgical pathologies in order to provide less invasiveness with maximum comfort and outcomes 6,7 . Several studies [8][9][10][11][12][13][14][15] have shown that laparoscopic appendectomy is safe with faster recovery and least wound complication.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic or Open Appendectomy: A Surgical Dilemma

Chauhan¹

2018

jmscr

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A prospective, randomized, unicenter study comparing laparoscopic and open treatments of acute appendicitis

Cited by 82 publications

References 16 publications

Conventional Laparoscopic Appendicectomy and Laparoscope-Assisted Appendicectomy: a Comparative Study

Conventional Laparoscopic Appendicectomy and Laparoscope-Assisted Appendicectomy: a Comparative Study

Laparoscopic Appendectomy as an Alternative to Conventional Procedure – Results in our own Material

Laparoscopic or Open Appendectomy: A Surgical Dilemma

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