A retrospective comparative study between laparoscopic and open appendectomy in teaching hospital of India


  • Lal Mani Singh Department of Surgery, N.S.C.B. Medical College, Jabalpur, Madhya Pradesh, India
  • Yogendra Singh Wadiwa Department of Surgery, N.S.C.B. Medical College, Jabalpur, Madhya Pradesh, India




Appendicitis, Appendicectomy, Laparoscopic, Open


Background: This study was aimed to compare laparoscopic with open appendicectomy and ascertain the therapeutic benefit, in the overall management of appendicitis. Laparoscopic appendicectomy though widely practiced has not gained universal approval. Laparoscopic appendicectomy in India is relatively new and the literature is exiguous.

Methods: The study group consisted of 100 patients suffering from appendicitis. 40 patients underwent laparoscopic appendicectomy (LA) and 60 patients underwent open appendecectomy (OA). Comparison was based on length of hospital stay, operating time, postoperative morbidity, postoperative complications, duration of convalescence and operative cost in terms of their medians.

Results: The rate of infections and overall complications (LA: 5%, OA: 11.66% were significantly lower in patients undergoing LA. The median length of stay was significantly shorter after LA (45% discharged 2nd day) than after OA (36% discharged on 4th day). VAS WAS 0-2 IN 60% cases LA and9-10 in 00% cases as compared to OA VAS Was 0-2 in15% and 9-10 in 3.33% cases.

Conclusions: LA is associated with increased clinical comfort in terms of fewer wound infections, faster recovery, earlier return to work and improved cosmesis. Hospital stay for LA is significantly shorter and the one-time operative charges appear to be almost the same.


Naik S, Yadav N, Firoz. Laparoscopic versus open appendectomy: A comparative study. International Journal of Applied Research 2017; 3(8): 471-474.

Gupta AK, Chawda V, Gupta S, Goel A, Bhagat TS, Agarwal A. Comparative evaluation of laparoscopic versus open appendicectomy in cases of acute appendicitis. Int Surg J. 2017;4(8):2637-41.

Momin ER, Shukla K, Kamat MM, Gosavi M, Kumar S, Upadhye A. Feasibility of single incision laparoscopic appendectomy with conventional instruments. Int J Sci Study. 2016;4(5):29-33.

Ellis H, Nathanson LK. Appendix and appendectomy. In: Zinner MJ, Schwartz SI, Ellis H, editors. Maingot’s Abdominal Operations. 10th ed. Singapore: McGraw-Hill; 2001:1191-1227.

McBurney C. Experience with early operative interference in cases of disease of vermiform appendix. N Y Med J. 1889;50:676-84.

Sweeney KJ, Keane FB. Moving from open to laparoscopic appendicectomy. BJS. 2003;20:257-8.

Semm K. Endoscopic appendicectomy. Endoscopy. 1983;15:59-64.

Henle KP, Beller S, Rechner J, Zerz A, Wetscher GJ, Szinicz G. Laparoscopic appendectomy does not change the incidence of postoperative infectious complications. The Am J Surg. 1998;175(3):232-5.

Long KH, Bannon MP, Zietlow SP, Helgeson ER, Harmsen WS, Smith CD, Ilstrup DM, Baerga-Varela Y, Sarr MG. A prospective randomized comparison of laparoscopic appendectomy with open appendectomy: clinical and economic analyses. Surg. 2001;129(4):390-400.

Kum CK, Ngoi SS, Goh PM, Tekant Y, Isaac JR. Randomized controlled trial comparing laparoscopic and open appendicectomy. British J Surg. 1993;80(12):1599-600.

Ortega AE, Hunter JG, Peters JH, Swanstrom LL, Schirmer B. A prospective, randomized comparison of laparoscopic appendectomy with open appendectomy. The Am J Surg. 1995;169(2):208-13.

Hansen JB, Smithers BM, Schache D, Wall DR, Miller BJ, MenZies BL. Laparoscopic versus open appendectomy: prospective randomized trial. World J Surg. 1996;20(1):17-21.

Cox MR, McCall JL, Toouli J, Padbury RT, Wilson TG, Wattchow DA, Langcake M. Prospective randomized comparison of open versus laparoscopic appendectomy in men. World J Surg. 1996;20(3):263-6.

Temple LK, Litwin DE, McLeod RS. A meta-analysis of laparoscopic versus open appendicectomy in patients suspected of having acute appendicitis. Can J Surg. 1999;42:377-83.

Guller U, Hervey S, Purves H, Muhlbaier LH, Peterson ED, Eubanks S, Pietrobon R. Laparoscopic versus open appendectomy: outcomes comparison based on a large administrative database. Ann Surg. 2004;239:43-52.

Fingerhut A, Millat B, Borrie F. Laparoscopic versus open appendicectomy: time to decide. World J Surg. 1999;23:835-45.






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