Laparoscopic versus open appendectomy in acute appendicitis.
نویسندگان
چکیده
BACKGROUND Although laparoscopic appendectomy is widely practiced nowadays, controversy still continues about the advantages of laparoscopic versus open appendectomy. To compare LA with OA to determine the length of hospital stay, post operative morbidity and length of operation. METHODS A retrospective study carried out, between February 2009 and January 2012, involving 226 patients (111 males and 115 females) with a diagnosis of suspected acute appendicitis. LA group consisted of 54 patients and OA group of 172 patients. The groups were compared by using Chi-square test for categorical variables and student t-test for continuous variables. RESULTS The mean length of hospital stay in LA was 2.69 days and in OA 4.03 days (p<0.001). The mean operative time in LA was 61.52 minutes and in OA 39.61 minutes (p<0.001). Post operative wound infection was seen in one patient (1.8%) in LA group and 17 patients (9.8%) in OA group. Conversion to open surgery was not necessary. CONCLUSIONS Laparoscopic appendectomy is as safe and effective as open procedure with major benefits like less post operative pain, decreased wound infection, less hospital stay and early return to normal activities.
منابع مشابه
Laparoscopic versus Open Appendectomy for the Treatment of Acute Appendicitis
Open appendectomy is the ‘gold standard’ for the treatment of acute appendicitis. Laparoscopic appendectomy though widely practiced has not gained universal approval. Although it is a generally safe operation, postoperative complications occur in few patients. Laparoscopic appendectomy was first described in 1983. Reports of early studies were equivocal with few studies evaluating analgesic req...
متن کاملLaparoscopic Versus Open Appendectomy for Acute Appendicitis in Children.
OBJECTIVE To compare the efficacy and safety of laparoscopic appendectomy and open appendectomy for acute appendicitis in children. METHODS This study was conducted as a retrospective comparison of hospital records for postoperative complications, duration of operation, and postoperative length of stay between children (aged <18y) who underwent laparoscopic (n=190) or open (n=199) appendectom...
متن کاملLaparoscopic Appendectomy Versus Open Appendectomy for Acute Appendicitis: A Prospective Comparative Study.
Background Appendicitis is the most common cause for acute abdominal pain. Laparoscopic appendectomy is an effective alternative to open appendectomy. It is a minimally invasive results in less postoperative pain, less wound infection, early return to normal work and less morbidity compared to open appendectomy. Both surgical methods are safe but there has been a controversy about which surgica...
متن کاملAppendicitis in Children: New Insights into an Old Problem
Acute appendicitis is the most common surgical emergency in developed countries. The treatment of acute appendicitis is either open or laparoscopic appendectomy. The latter has gained widely acceptance in the past years, although the debate on the true merits of laparoscopic appendectomy is still on going. Some authors prefer this approach as the gold standard for all cases, but in our opinion ...
متن کاملTrends in utilization and outcomes of laparoscopic versus open appendectomy.
BACKGROUND Although a number of trials have analyzed the outcomes of laparoscopic versus open appendectomy, the clinical advantages, and cost-effectiveness of laparoscopic appendectomy in the management of acute and perforated appendicitis are still not clearly defined. The aim of this study was to examine utilization and outcomes of laparoscopic versus open appendectomy using a national admini...
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ورودعنوان ژورنال:
- Journal of Nepal Health Research Council
دوره 10 22 شماره
صفحات -
تاریخ انتشار 2012