DOI: http://dx.doi.org/10.18203/2349-2902.isj20185069

A 125-year journey and quest for better choice: OA or LA?

Rajiv Ranjan, Ajay Kumar Jha, Kishore K. Sinha

Abstract


Appendectomy is now 125years old and we salute it. It is the operation for the removal of an inflamed symptomatic appendix to cure acute appendicitis (AA), the commonest surgical emergency world over. There are two variants of appendectomy: 1. Open and 2. Laparoscopic. Open appendectomy (OA) dominated the surgical word for about 85years and in 1980 was challenged by the laparoscopic appendectomy (LA). Thirty years since then a pseudo controversy continues as to which is a better choice despite a lot of literature to support LA. Using the terms laparoscopic appendectomy, open appendectomy and appendicitis, a literature search was made using Medline and google. About 2100 citations were analyzed and several meta-analyses were studied to resolve the controversy. Laparoscopic appendectomy is worth recommending as an effective and safe procedure for acute appendicitis in both adults and children in all types of symptomatic appendicitis. Overall LA is more patient friendly than open appendectomy and deserves to be a gold standard surgical modality.


Keywords


Appendicitis, Appendectomy, Gold standard, Laparoscopic, Meta-analysis, Mc Burney point

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References


Mcburney. The incision made in the abdominal wall in cases of appendicitis, with a description of a new method of operating. Ann Surg. 1894;20(1):38.

Semm K. Endoscopic appendectomy. Endoscopy. 1983;15(02):59-64.

Litynski GS. Kurt Semm and the fight against skepticism: endoscopic hemostasis, laparoscopic appendectomy, and Semm's impact on the “laparoscopic revolution”. JSLS: J Society of Laparoendoscopic Surg. 1998;2(3):309.

Korndorffer JR, Fellinger E, Reed W. SAGES guideline for laparoscopic appendectomy. Surg Endo. 2010;24(4):757-61.

Meguerditchian AN, Prasil P, Cloutier R, Leclerc S, Péloquin J, Roy G. Laparoscopic appendectomy in children: a favourable alternative in simple and complicated appendicitis. J Ped Surg. 2002;37(5):695-8.

Paya K, Fakhari M, Rauhofer U, Felberbauer FX, Rebhandl W, Horcher E. Open versus laparoscopic appendectomy in children: a comparison of complications. JSLS: J Society of Laparoendoscopic Surg. 2000 Apr;4(2):121.

Sweeney KJ, Keane FB. Moving from open to laparoscopic appendicectomy. BJS. 2003;20:257-8.

Hellberg A, Rudberg C, Kullman E, Enochsson L, Fenyö G, Graffner H, et al. Prospective randomized multicentre study of laparoscopic versus open appendicectomy. Brit J Surg. 1999;86(1):48-53.

Hansen JB, Smithers BM, Schache D, Wall DR, Miller BJ, MenZies BL. Laparoscopic versus open appendectomy: prospective randomized trial. World J Surg. 1996;20(1):17-21.

Attwood SEA, Hill ADK, Murphy PG, Thornton, J, Stephens RB. A prospective randomized trial of laparoscopic versus open appendicectomy. BJS. 1992;112:497-501.

Bonanni F, Hartzell G, Trostle D, Boorse R, Gittleman M, Cole A. Laparoscopic versus conventional appendectomy. J Am Surg. 1994;179(3):273-8.

Krisher SL, Browne A, Dibbins A, Tkacz N, Curci M. Intra-abdominal abscess after laparoscopic appendectomy for perforated appendicitis. Arch of Surg. 2001;136(4):438-41.

Krisher SL, Browne A, Dibbins A, Tkacz N, Curci M. Intra-abdominal abscess after laparoscopic appendectomy for perforated appendicitis. Arch Surg. 2001;136(4):438-41.

Tang E, Ortega AE, Anthone GJ, Beart RW. Intraabdominal abscesses following laparoscopic and open appendectomies. Surg Endo. 1996;10(3):327-8.

Barkhausen S, Wullstein C, Gross E. Laparoscopic versus conventional appendectomy-a comparison with reference to early postoperative complications. Zentralblatt Fur Chirurgie. 1998;123(7):858-62.

Dai L, Shuai J. Laparoscopic versus open appendectomy in adults and children: A meta-analysis of randomized controlled trials. United Euro Gastroenterol J. 2016;5(4):542-53.

Paik PS, Towson JA, Anthone GJ, Ortega AE, Simons AJ, Beart RW. Intra-abdominal abscesses following laparoscopic and open appendectomies. J Gastrointes Surg. 1997;1(2):188-93.

Cox MR, McCall JL, Toouli J, Padbury RT, Wilson TG, Wattchow DA, et al. Prospective randomized comparison of open versus laparoscopic appendectomy in men. World J Surg. 1996;20(3):263-6.

Tate JJT. Laparoscopic appendectomy. Br J Surg 1996;83:1169-70.

Kazemier G, De Zeeuw GR, Lange JF, Hop WC, Bonjer HJ. Laparoscopic vs open appendectomy. Surg Endoscop. 1997;11(4):336-40.

Cuschieri A. Appendectomy-laparoscopic or open?. Surg Endo. 1997;11(4):319-20.

Garrard CL, Clements RH, Nanney L, Davidson JM, Richards WO. Adhesion formation is reduced after laparoscopic surgery. Surg Endo. 1999;13(1):10-3.

Sista F, Schietroma M, Santis GD, Mattei A, Cecilia EM, Piccione F, et al. Systemic inflammation and immune response after laparotomy vs laparoscopy in patients with acute cholecystitis, complicated by peritonitis. World J Gastrointest Surg. 2013;5(4):73-82.

Kumar NS, Kumar RJV. factors affecting conversion of laparoscopic appendectomy to open surgery in a tertiary hospital in south India: a prospective study. IJSS Surg. 2016;2(2):1-4.

Goletti O. Cost efficacy of laparoscopic vs open surgery. Surg Endo. 1998;10(12):1197-8.

Heikkinen TJ, Haukipuro K, Hulkko A. Cost-effective appendectomy. Surg Endo. 1998;12(10):1204-8.

Ruiz-Patiño A, Rey S, Molina G, Dominguez LC, Rugeles S. Cost-effectiveness of laparoscopic versus open appendectomy in developing nations: a Colombian analysis. J Surg Res. 2018;224:33-7.

Korndorffer JR, Fellinger E, Reed W. SAGES guideline for laparoscopic appendectomy. Surg Endo. 2010;24(4):757-61.

Meguerditchian AN, Prasil P, Cloutier R, Leclerc S, Péloquin J, Roy G. Laparoscopic appendectomy in children: a favourable alternative in simple and complicated appendicitis. J Ped Surg. 2002;37(5):695-8.

Canty Sr TG, Collins D, Losasso B, Lynch F, Brown C. Laparoscopic appendectomy for simple and perforated appendicitis in children: the procedure of choice?. J Ped Surg. 2000;35(11):1582-5.

Guller U, Hervey S, Purves H, Muhlbaier LH, Peterson ED, Eubanks S, Pietrobon R, et al. Laparoscopic versus open appendectomy: outcomes comparison based on a large administrative database. Annals Surg. 2004;239(1):43.

Guller U, Jain N, Peterson ED, Muhlbaier LH, Eubanks S, Pietrobon R. Laparoscopic appendectomy in the elderly. Surg. 2004;135(5):479-88.

Valla JS, Limonne B, Valla V, Montupet P, Daoud N, Grinda A, et al. Laparoscopic appendectomy in children: report of 465 cases. Surg Laparo Endo. 1991;1(3):166-72.

El Ghoneimi A, Valla JS, Limonne B, Valla V, Montupet P, Chavrier Y, et al. Laparoscopic appendectomy in children: report of 1,379 cases. J Ped Surg. 1994;29(6):786-9.

Hay SA. Laparoscopic versus conventional appendectomy in children. Ped Surg Int. 1998;13(1):21-3.

Nguyen DB, Sikn W, Hodin RA. Interval appendectomy in the laparoscopic era. J Gastrointest Surg. 1999;3(2):189-93.

Sauerland S, Jaschinski T, Neugebauer EA. Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev. 2010 Oct 6;(10):CD001546.