A comparative study of laparoscopic appendicectomy versus open appendicectomy
Keywords:Open appendicectomy, Laparoscopic appendicectomy, Comparative study
Background:Open appendicectomy has been safe and effective for acute appendicitis for more than a century. Recently, several authors proposed that the new technique of laparoscopic appendicectomy should be the treatment for acute appendicitis. Therefore, the aim of this study is to evaluate and compare laparoscopic appendicectomy with open appendicectomy in general surgical practice.
Methods: This prospective randomized controlled study was carried out over a period from October 2012 to October 2015 in the department of general surgery K.P.C. Medical College and Hospital, Kolkata. Patients between 18 years and 60 years of age were candidates for randomization. The total population group included 144 patients with a mean age of 39 years.
Results:Comparative studies of laparoscopic and open appendicectomy shows that hospital stay and wound infection rates are significantly lower after laparoscopic appendicectomy. As compared to laparoscopic appendicectomy prevalence of intra-abdominal abscess was less in open appendicectomy. Similarly, shorter operating time was found in patients randomized to open appendicectomy compared with laparoscopic appendicectomy. There were shorter period of convalescence and better cosmesis observed in the laparoscopic group. However, no single case of pneumonia was reported in the post-operative period in both appendicectomy.
Conclusions:From the present study, we can conclude that laparoscopic appendicectomy has been shown to be both feasible and safe in comparison with open appendicectomy. However, because of the competition of laparoscopic and open appendicectomy, open appendicectomy has improved greatly. The benefit of laparoscopic appendicectomy over the open appendicectomy will be a question.