Laparoscopic versus open appendectomy: A comparative study

Abstract

The current study was done to compare the effectiveness, safety and clinical outcome between Laparoscopic and Open Appendectomy in terms of operating time, complications and length of hospital stay. Patients undergoing Appendectomy by Laparoscopic and Open technique from November 2016 to October 2017 were enrolled in the study after fulfilling eligibility criteria. According to surgical approach patients were randomly divided into two groups Laparoscopic Appendectomy Group (LA group) & Open Appendectomy Group (OA group) respectively. The following parameters were assessed primarily in terms of operating time, resumption of oral diet, length of hospital stay, no. of analgesic doses, conversion rate, post-operative pain, Intraoperative and post operative complications like wound infection, prolong ileus, intraabdominal abscess, diarrhea and urinary tract infection. Results: We found that operating time was comparable in both groups, resumption of oral diet was earlier in LA Group as compare to OA Group (with p value of <0.0001) which was statistically significant, No. of analgesic doses used, length of hospital stay, Postoperative pain, Intraoperative and postoperative complications was less in LA Group whereas 2 patients in LA group was converted to open Group but difference was statistically significant. Conclusion: we concluded that Laparoscopic Appendectomy is safe and effective than Open Appendectomy irrespective of the indication for conversion to open.

Comparative study between Open Surgical Technique versus Laparoscopic Appendectomy in Complicated Appendicitis

“…Our findings were supported by Singh et al 3 Our findings were supported by Resutra and Gupta 14 as they reported that 160 (80%) of the patients in Group A were completely satisfied with the scar and aesthetic result, 30 (15%) were moderately satisfied, and 10 (5%) were dissatisfied owing to the bad scar.…”

“…A prior systematic review (SR) and meta-analysis (MA) on IAA found no difference between the two groups, implying that the laparoscopic method had certain advantages. 3 Since Semm's first study of laparoscopic appendectomy (LA) in 1983, a significant variety of research comparing laparoscopic vs. open appendectomy (OA) has been done. When compared to OA, LA has a distinct advantage in terms of peritoneal cavity access and visualisation via small incisions.…”

Comparative Study between Open and Laparoscopic Appendectomy in Acute Appendicitis

“…In 1981, German gynecologist Semm performed the first OA surgery, and then it is standardized among surgeons. It is usually done by a small lower right quadrant incision and is usually recovery after surgery is uneventful (8,9) .…”