Laparoscopic versus open appendectomy in patients with acute appendicitis

Abstract

Background and aim There were numerous previous studies comparing open appendectomy (OA) with laparoscopic appendectomy (LA). Although most of these have concluded that the LA is good as OA, there has been considerable controversy as to whether LA is superior to OA or not. The goal of this study was to compare the results of the previous two surgical methods and determine if LA is better than OA. Patients and methods A prospective research, including 40 patients with a suspected acute appendicitis, was conducted between January 2018 and May 2019. The LA group had 20 patients, while the OA group had 20 cases. LA was performed using three trocars/cannulas to create pneumoperitoneum with CO2, whereas OA was done using the Mc Burney incision (Clinical trial registration number : PACTR202203884835048). Results Appendectomies were done on 14 males and 26 women for a total of 40 appendectomies. In LA, the mean operative time was 45.50±13.26 min, whereas in OA, it was 53.50±14.78 min (P=0.001). In the LA group, none of the patients experienced intraoperative problems, but four individuals in the OA group did. Postoperative problems were observed in four (20%) patients in the LA group and five (25%) patients in the OA group. Compared with those who had OA, those who had LA had a considerably shorter hospital stay (14.60±5.45 vs. 24.10±5.60 h, P=0.001). Conclusions LA is just as safe and successful as OA, with key advantages such as less discomfort, fewer wound infections, and shorter hospital stays.