Laparoscopic appendectomy versus laparoscopic assisted appendectomy: a hospital based comparative study


  • Gopal Sharma Department of Surgery, Government Medical College, Rajouri, Jammu and Kashmir (Union Territory), India
  • Barinder Kumar Department of Surgery, Government Medical College, Rajouri, Jammu and Kashmir (Union Territory), India



Laparoscopy, Appendectomy, Pneumoperitoneum, Trocar, Ports


Background: Laparoscopic appendectomy is more expensive and time consuming as compared to open technique. On the other hand, laparoscopic assisted appendectomy has the advantages of both the open and laparoscopic methods.

Methods: This was a prospective comparative study of patients that underwent appendectomy by laparoscopic or laparoscopic assisted techniques.

Results: A total of 40 patients were selected for the study. Standard laparoscopic technique was performed in 20 patients and laparoscopic assisted appendectomy was performed in 20 patients. The average operating time was 25.4±15 minutes in laparoscopic assisted appendectomy while it was 46.20±10.90 minutes in standard laparoscopic appendectomy which was statistically significant. Mean hospital stay in group A was 2.70±0.70 and in group B it was 2.10±0.70 which was not statistically significant.

Conclusions: The laparoscopic-assisted method of appendix removal can be performed as efficiently as laparoscopically. It is fast and easy to perform, and it is expected to decrease the overall cost of laparoscopic appendectomy.


Souza DN, Nugent K. Appendicitis. BMJ Clin Evid. 2014; 408.

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

Burney MCH. The incision made in the abdominal wall in cases of appendicitis with a description of a new method of operating. Ann Surg. 1894;20:38-43.

Schellekens DH, Hulsewe KW, Acker VBA. Evaluation of the diagnostic accuracy of plasma markers for early diagnosis in patients suspected for acute appendicitis. Acad Emerg Med. 2013;20:703-10.

Anena M. Laparoscopic versus open appendectomy. A prospective evaluation. British J Surg. 1992;79:818-20.

Ortega AE, Hunter JG, Peters JH, Swanstrom LL, Schirmer B. A prospective, randomized comparison of laparoscopic appendectomy with open appendectomy. Am J Surg. 1995;169:208-12.

Tang E, Ortega AE, Anthone GJ, Beart RW. Intra-abdominal abscesses following laparoscopic and open appendectomies. Surg Endosc. 1996;10:327-28.

Valla J, Flores ORM, Steyaert H. Umbilical one-puncture laparoscopic-assisted appendectomy in children. Surg Endosc. 1999;13(1):83-5.

Nicholson T, Tiruchelvam V. Comparison of Laparoscopic-Assisted Appendectomy with Intracorporal Laparoscopic Appendectomy and Open Appende. JSLA. 2001;5(1):47-51.

Misauno MA, Isichei MW. Laparoscopically Assisted Appendicectomy in Adults: A comparative analysis. IOSR J Dental Med Sci. 2013;8(3):24-7.

Aditya PS. Advantages and Complications of Laparoscopic assisted extracorporeal appendectomy. Int J Med Allied Health Sci. 2014;3(3):2348-3229.






Original Research Articles