Open versus laparoscopic appendicectomy: a prospective comparative study

Authors

  • Santoshkumar N. Deshmukh Department of General Surgery, Dr. Vaishampayan Memorial Government Medical College Solapur, Maharashtra, India
  • Abhilash P. Pawar Department of General Surgery, Dr. Vaishampayan Memorial Government Medical College Solapur, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20201383

Keywords:

Acute appendicitis, Open appendicectomy, Laparoscopic appendicectomy

Abstract

Background: Open appendectomy has been the gold standard for the treatment of acute appendicitis since its introduction by Charles Mc Burney in 1889.The introduction of laparoscopic surgery has dramatically changed the field of surgery. Various studies showed conflicting results about the superiority of laparoscopic approach over open for treatment of acute appendicitis. Present study is conducted to determine any possible benefits of the laparoscopic approach over open surgery.

Methods: The study was conducted in Dr. V. M. Government Medical College and hospital located in Solapur (Maharashtra) from September 2017 to September 2019. It is a prospective comparative study. Patients were randomly divided into 2 groups alternately where group A and B were operated by conventional and laparoscopic techniques respectively and their outcomes were compared.

Results: Mean age of patients in open and laparoscopic appendicectomy group was 29.67 years and 31 years respectively. Post-operative pain, wound infection and hospital stay was significantly more in open group as compared to laparoscopic group (p<0.05).

Conclusions: From the results of our study we conclude that laparoscopic appendicectomy has superior results as compared to open appendicectomy.

References

Addiss DG, Shaffer N, Foweler BS, Tauxe R. The epidemiology of Appendicitis and appendicectomy in the United States. Am J Epidemiol 1990;132(5):910-25.

Mc Burney C. An incision is made in the abdominal wall in cases of appendicitis with a description of a new method of operating. Ann Surg. 1894;20:38-43.

Kehagias I, Karamanakos SN, Panagiotopoulos S et al. Laparoscopic versus open appendectomy: World J Gastroenterol. 2008;14(31):4909-14.

Seem K. Endoscopic appendectomy. Endoscopy. 1983;15:59-64.

Kurtz RJ, Heimann TM. Comparison of open and laparoscopic treatment of acute appendicitis. Am J Surg. 2001;82:211-4.

Garbutt JM, Soper NJ, Shannon W, Botero A, Littenberg B. Meta-analysis of randomized controlled trials comparing laparoscopic and open appendectomy. Surg Laparosc Endosc. 1999;9:17-26.

Goudar BV, Telkar S, Lamani YP et al. Laparoscopic versus Open Appendectomy: A Comparison of Primary Outcome Studies from Southern India. J Clin Diagnostic Res. 2011;5(8):1606-9.

Katkhouda N, Mason RJ, Towfigh S et al. Laparoscopic versus open appendectomy: a prospective randomized double-blind study. Ann Surg. 2005;242(3):439-50.

Jain VK, Ghosh P, Das S. A comparative study of laparoscopic appendicectomy versus open appendicectomy. Int Surg J. 2016;3(5):26-32.

Kumar SG, Rao DN. Open VS laparoscopic appendicectomy: A comparative Study. International J Surg Sci. 2018;2(2):19-22.

Mehta T, Nerlekar HV. Open versus Laparoscopic Appendicectomy: a comparative study. JMSCR. 2017;5(1):15795-808.

Biondi A, Stefano CD, Ferrara F et al. Laparoscopic versus open appendectomy: a retrospective cohort study assessing outcomes and cost-effectiveness. World J Emergency Surg. 2016;11(44):1-6.

Subramaniam RK. Comparative analysis of clinical outcomes of open appendectomy and laparoscopic appendectomy. International J Contemporary Med Res. 2018;5(1):18-20.

Khatana PS, Kumar J, Aggarwal M. Comparison of open versus laparoscopic appendectomy. Int J Res Med Sci 2018;6(2):133-7.

Marzouk M, Khater M, Elsadek M, Abdelmoghny A. Laparoscopic vs Open appendicectomy. Surg Endosc. 2003;17:721-4.

Yong JL, Law WL, Lo CY, Lam CM. A comparative study of routine laparoscopic versus open appendectomy. JSLS. 2006;10(2):188-92.

Moodadla S, Naik R. Comparative study of open versus laparoscopic appendicectomy. IOSR J Dental Med Sci. 2016;15(9):112-8.

Ortega AE, Hunter JG, Peters JH et al. A prospective, randomized comparison of laparoscopic appendicectomy with open appendicectomy. Laparoscopic Appendicectomy Study Group. Am J Surg. 1995; 169(2):208-13.

Frazee RC, Robert JW, Symonds RE, Snyder SK et al. A prospective randomized trial comparing open versus laparscopic appendectomy. Ann Surg. 1994;219(6):725-31.

Wang YC, Yang HR, Chung PK, Jeng LB, Chen RJ. Laparoscopic appendectomy in the elderly. Surg Endosc. 2006;20(6):887-9.

Patel VK, Sharma S, Gaharwar APS, Gupta R. A Comparative Study Between Laparoscopic Appendectomy and Conventional Open Appendectomy. IJSS J Surg. 2018;4(2):20-5.

Pedersen AG, Petersen OB, Wara P, Ronning H et al. Randomised Clinical trial of laparoscopic versus open appendicectomy. Br J Surg. 2001;88(2):200-5.

Downloads

Published

2020-03-26

Issue

Section

Original Research Articles