Retrospective analysis of laparoscopic versus open appendectomy for the treatment of acute appendicitis

Resutra, Ritvik; Salaria, Haroon; Gupta, Ritu

doi:10.18203/2349-2902.isj20205355

Cited by 4 publications

(2 citation statements)

References 19 publications

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“…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.…”

Section: Discussionsupporting

confidence: 86%

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

Mohamed

El-Moneim

Emam

2022

Al-Azhar International Medical Journal

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Section: Discussionsupporting

confidence: 86%

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

Mohamed

El-Moneim

Emam

2022

Al-Azhar International Medical Journal

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“…15 The authors found that the mean age of studied cases was 27.41 years. Similarly, Resutra et al 16 in their study of 400 patients of acute appendicitis treated by open as well as LA found the mean age of studied cases to be 35 years.…”

Section: Discussionmentioning

confidence: 68%

Single incision laparoscopic appendectomy: A prospective study

Mangam

2021

Asian J Med Sci

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Background: Appendicitis is one of the common pathologies encountered in surgical practice. Except in minority of the cases, the treatment is usually surgical. Till recent past, open appendectomy has been the procedure of choice for appendicitis. With increasing expertise in laparoscopic surgeries more and more surgeons are utilizing the laparoscopic approach for appendectomy. Laparoscopic surgeries have distinct advantages such as less surgical trauma, improved and quick postoperative recovery, and esthetic results. Single-incision laparoscopic surgery (SILS) is rapidly gaining acceptability in young population because of its cosmetic advantages. Moreover, these surgeries also avoid the risk of port-site hernias and the possibility of wound infection. Aims and Objective: The purpose of this study is to present our initial experience with this surgery using a single incision laparoscopic appendectomy (LA) using conventional instruments. Materials and Methods: This was a prospective cohort study conducted in the department of surgery of a tertiary care medical college situated in an urban area. The duration of the study was 2 years. All adult patients diagnosed to be having uncomplicated appendicitis and undergoing appendectomy by SILS were included in this study on the basis of a predefined inclusion and exclusion criteria. Pre-operative data collected included age, sex, weight, duration of complaint, concomitant medical conditions (like ischemic heart disease, chronic obstructive airway disease, diabetes mellitus, pancreatitis, and liver cirrhosis) and previous upper or lower abdominal surgery. All patients were treated by SILS except 1 patient in whom the procedure was converted to open surgery. Mean surgical time, Intraoperative procedure details and postoperative complications were studied in all the cases. p < 0.05 was taken as statistically significant. Statistical analysis was done using SSPS 21.0 software. Results: Out of 30 patients in this study 26 patients were female and 4 patients were male. The male to female ratio was found to be 1:6.15. Mean age of studied cases was found to be 26.2 years. Operative time required for the first 15 cases in an average was 120.00 min however it was reduced for the next 15 cases was 73.73 min. Overall time required in an average was 96.86 min. Out of 30 cases, The procedure was completed with Single Incision LA in 23 Patients, i.e., 76.6 %. In the initial cases, we started with two 5 mm and one 10mm port. To reduce crowding we replaced the 5 mm port to 3 mm port. The 10 mm port was also replaced by 5 mm in the past few cases in 1 patient the procedure was converted to open surgery. The analysis of postoperative complications showed that five patients had Post-Operative wound Infection. One patient had post-operative peritonitis. Conclusion: SILS is a feasible and safe surgical method for appendectomy and is being increasingly preferred particularly by young patients due to its excellent cosmetic results.

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Comparative evaluation of appendectomy procedure results with open and laparoscopic access in the treatment of acute appendicitis

Stolyarov

Badeyan

Попова

et al. 2021

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Relevance of the topic: Appendectomy is one of the most frequently performed operations in abdominal surgery. Laparoscopic access is gradually replacing open surgery for acute appendicitis. The aim of this study was to assess the technical feasibility and safety of the laparoscopic technique for acute appendicitis and compare its results with open appendectomy. A total of 120 patients with acute appendicitis were operated on, 60 with laparoscopic appendectomy and 60 with open surgery. For three years from June 2018 to January 2021. The two groups were compared for the duration of surgery, length of hospital stay, postoperative pain, complication rate, time spent resuming daily activities, and cosmetic satisfaction of patients. The results were found to be significantly better when using the laparoscopic technique. In the postoperative period, there was a lower level of pain, faster recovery, early resumption of work, a decrease in postoperative complications and better cosmetic satisfaction of patients operated on by the method of laparoscopic appendectomy, compared with open surgery. Conclusions: Laparoscopic appendectomy is a safe and feasible technique for treating acute appendicitis with results comparable to open appendectomy, without an obvious increase in complications and is clearly the procedure of choice for treating acute appendicitis.

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Retrospective analysis of laparoscopic versus open appendectomy for the treatment of acute appendicitis

Cited by 4 publications

References 19 publications

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

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

Single incision laparoscopic appendectomy: A prospective study

Comparative evaluation of appendectomy procedure results with open and laparoscopic access in the treatment of acute appendicitis

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