Comparison between Laparoscopic and Open Appendectomy: A Population-Based Study

Document Type : Original Article

Authors

1 Assistant Professor, Department of General Surgery, The Oxford Medical College, Yadavanahalli, Karnataka, India

2 Assistant Professor, Department of General Surgery, The Oxford Medical College, Yadavanahalli, Karnataka, India.

Abstract

Background: The most frequent reason of pain abdomen and a common cause of emergency surgery is appendicitis. Males have an 8.6% lifetime risk of suffering appendicitis, while females have a 6.7 percent lifetime risk.  
Materials and Methods: Between July 2018 and June 2019, we did a retrospective review of patients who had appendectomies at The Oxford Medical College Hospital in Bangalore, Karnataka. We looked at the clinical data of 140 patients who matched the inclusion criteria. The patients were split into two groups: those who had a laparoscopic appendectomy [LA = 70] and those who had an open appendectomy [OA = 70]. A total of 140 patients with acute appendicitis, 70 patients each underwent open and laparoscopic appendectomy.
Results: The time taken to return to ordinary daily activities were significantly different between the two groups, with the laparoscopic group taking 11.5±3.1 days on average against 16.1±3.3 days in the open appendectomy group. In the laparoscopic group, seven patients had complications, while in the open appendectomy group fifteen had complications. Laparoscopic appendectomy has fewer complications than open appendectomy.
Conclusion: Regardless of age, sex, or return to regular activity, laparoscopic appendectomy is the operation of choice for the majority of patients. It has fewer complications and requires a fewer hospital stays, as well as the ability to treat concurrent disorders.

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