Comparison of the effects of laparoscopic appendectomy and open appendectomy in the treatment of acute appendicitis perforation

Abstract

Objective To compare the efficacy of laparoscopic appendectomy and open appendectomy in the treatment of acute appendicitis perforation. Methods A total of 100 cases with acute perforated appendicitis who received surgery in Xinzhou People's Hospital From January 2015 to June 2017 were selected and randomly divided into control group and observation group, with 50 cases in each group.The control group underwent open appendectomy, the observation group underwent laparoscopic appendectomy.The surgery condition, postoperative recovery, complications, immune function were compared between the two groups. Results The operation time, incision length in the observation group were (63.87±7.91)min, (2.07±0.84)cm, respectively, which were shorter than those in the control group[(74.53±10.68)min, (3.95±1.26)cm](t=5.672, 8.779, all P 0.05), and after operation, the indicators of immune function in the observation group were higher than those in the control group(t=5.787, 4.816, 4.339, all P<0.05). Conclusion In the treatment of acute perforated appendicitis, laparoscopic appendectomy compared to open appendectomy has more advantages, such as shorter operation time, less bleeding, smaller incision, less postoperative complications, quick recovery after operation, but also can reduce the influence of surgical trauma on immune function in patients, it is conducive to the improvement of the prognosis of the patients. Key words: Appendicitis; Appendectomy; Laparoscopy