DOI: http://dx.doi.org/10.18203/2349-2902.isj20173644

A randomized prospective comparative study of laparoscopic appendicectomy versus open appendicectomy

Rajbir Singh Bajwa, Navjot Brar

Abstract


Background: Acute appendicitis is the most frequent cause of persisting progressive abdominal pain in all ages. However, there is no way to prevent the development of appendicitis, the only way to reduce the morbidity and to prevent the development of appendicitis, is to perform appendicectomy before perforation or gangrene has occurred. In this study, we have done a randomized, prospective comparative study of laparoscopic appendicectomy versus open appendicectomy in the Department of Surgery, Sri Guru Ramdas Hospital and Research Institute, Sri Amritsar from August 2014 to December 2016 a period of two years and four months.

Methods: This prospective randomized controlled study was carried out in the department of General Surgery. The total population group included 144 patients with a mean age of 39 years (Age group between 18-60 years). Patients between 18 years and 60 years of age were candidates for randomization. The study was carried out as an open randomized single centre study.

Results: In the present study patients were not blinded to the surgical technique employed but were equally informed to resume normal activity and work as soon as possible at their discretion. The results show that time to return to heavy work was significantly reduced by the laparoscopic approach. Less pain in the post-operative period was the major contributing factor. In the present study, laparoscopic appendicectomy was associated with improved cosmesis when compared with open appendicectomy (P <0.01).

Conclusions: Laparoscopic appendicectomy is a safe procedure with lower morbidity it is also an excellent training tool in laparoscopic technique and with sufficient experience takes no longer than open appendicectomy.


Keywords


Appendicectomy, Laproscopic

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References


Pleser JG, Greenberg D. The new Aird’s companion. In surgical studies. Isr Med Assoc J. 2002;4(2):91-4.

Salam IM. Early patient discharge following appendicectomy: Safety and feasibility. JR Coll Surg Edinb. 1995;40(5):300-2.

Pederson AG. Randomized clinical trial of laparoscopic versus open appendicectomy. BJS. 2001;88:200-5.

Kum CK, Ngoi SS. Goh PMY, Tekant Y, Isaac JR. Randomized controlled trial comparing. Laparoscopic and open appendicectomy. Br J Surg. 1993;80:1599-600.

Ortega AE, Hunter JG, Peters JH, Swanstom LL, Schirmer B. The laparoscopic appendicectomy study group. A prospective randomized comparison of laparoscopic appendicectomy with open appendicectomy. Am J Surg. 1995;169:208-13.

Tate JJT, Dawson JW, Chung SCS, Lau WY, LI AKC. Laparoscopic versus open appendicectomy: prospective randomized trial. Lancet. 1993;342:633-7.

Heikkinen TJ, Haukipuro K, Hulkko A. Cost - effective appendicectomy open or laparoscopic? A prospective randomized study. Surg Endosc. 1998:1204-8.

Tate JJT. Laparoscopic appendicectomy. BJS. 1996;83:1169-70.

Mc Call JI. Sharples K, Jadallah T. Systematic review of randomized controlled trials comparing laparoscopic with open appendicectomy. 1997;84:1045-50.

Kamal M. Laparoscopic versus open appendicectomy. Pak J Med Res. 2003;42(1).

Villazon DO, Espinosa JA, Cardenas. Co, Valdez CA. Appendectomy by minimally invasive surgery. Rev Gastroenterol Mex. 2004;69 Suppl 1:58-64.

De U. Laparoscopic versus open appendicectomy. An Indian perspective. J Min Acc Surg. 2005;1(1):15-20.

Citone G, Perri S, Pugno V, Lotti R, Amendolara M, Gola P, et al. Laparoscopic appendicectomy : an 8 year clinical experience. Minerva Chir. 2001;56(1):13-21.

Cariati A, Brignole E. Laparoscopic or open appendicectomy. Critical review of the literature and personal experience. G Chir. 2001;22(10):353-7.

Long KH, Bannon MP, Zietlow SP, Helgeson ER, Harmsen WS, Smith CD, et al. A prospective randomized comparison of laparoscopic appendicectomy with open appendicectomy: clinical and economic analysis. Surg. 2001;129(4):390-400.

Lord RV, Shane DR. Early discharge open appendicectomy. Aust NZJ Surg. 1996;66(6):361-5.

Shah RC. Key hole appendicectomy. J Indian Med Assoc. 2004;102(10):565-7.