What is gold standard for Appendicectomy? Open or laparoscopic

Vikas Goyal, Monica Gupta, Delie Rhezhii

Abstract


Introduction: Appendicectomy is one of the most common acute surgical emergency. Laparoscopic appendicectomy was first reported well before laparoscopic cholecystectomy, the market penetration is very poor. Role of laparoscopic appendicectomy remains controversial even after 30 years of inception. The present study is designed to assess these conflicts. Methods: 60 patients admitted in department of surgery with diagnosis of acute appendicitis, recurrent appendicitis and those kept for interval appendicectomy were randomly divided into two groups A and B. The patients in group A were subjected to laparoscopic appendicectomy and patients in group B underwent open appendicectomy. Results: Mean duration of surgery in LA was 41.78+ 13.55 mins, in OA was 61.66+ 25.25 and 102+ 3.54 mins for converted group. Postoperative pain was significantly less in patients operated with laparoscopic technique (3.18+ 1.09) as compared to OA (4.76+ 2.03) group as evident by number of analgesic requirement. Mean length of stay was shortest in LA group 2.5 + 1.07 days, followed by OA 4.833 + 2.11 days and 8.5 + 3.54 in converted group. Conclusion: Laparoscopic appendicectomy is having less complications as compared to open appendicectomy.Hence laparoscopic appendicectomy also decreases the morbidity associated with operative procedure , wound infection , paralytic ileus and prolonged hospitalization.

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References


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