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| Laparoscopic Versus Open Appendectomy |
Dr. Abdullah Makki Hasan, M.B.Ch.B, Dr. Mohammed Hussein Al-Jawher, F.R.C.S., C.A.B.S, Dr. Nadham K. Mahdi, M.Sc., Ph.D.
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Abstract:
Background: Appendicitis is the most common cause for acute abdominal pain. Laparoscopic appendectomy is an effective alternative to open appendectomy. Both surgical methods are safe but there has been a controversy about which surgical procedure is the most appropriate. Objective: To compare the outcomes of laparoscopic versus open appendectomy. Patients and Methods: In this prospective study, 200 cases of acute appendicitis were included. Patients were distributed into 2 groups namely, open appendectomy group or laparoscopic group. The groups were compared in terms of operative time, postoperative pain, postoperative wound infection, other morbidities and length of hospital stay. Result: Out of 200 patients, 93 underwent open and 107 underwent laparoscopic appendectomy. The mean operating time in laparoscopic appendectomy group was 39.5(5.2) min and in open appendectomy group, was 23.3(3.8) min . The hospital stay was 1.17(0.3) days in laparoscopic appendectomy group and 2(0.8) days in open appendectomy group. In laparoscopic appendectomy group, there is lower incidence of wound infection, lesser postoperative analgesic requirement and shorter hospital stay in comparison to open appendectomy. Though, the operative time is more with laparoscopic appendectomy, Conclusion: Laparoscopic approach for appendectomy can be effective as the gold standard for surgical treatment of acute appendicitis and superior to open approach regarding post operative pain, hospital stay days and return to usual activities.
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