A Comparative Study of Laparoscopic and Open Appendectomy

Abstract

cute appendicitis (AA) can be considered the signature disease encountered by the general surgeon. It is the most frequent abdominal diagnosis treated by surgeons. There have been numerous previous studies comparing open appendectomy (OA) with laparoscopic appendectomy (LA). Although most of these have concluded that the laparoscopic technique is as good as OA, there has been considerable controversy as to whether LA is superior to OA or not. The aim of this study is to compare between laparoscopic and open appendectomy Regarding operative time, postoperative pain, complications, time to return to usual activity and cosmesis. We included 40 consecutive patients with acute appendicitis. The Patients were randomly allocated into 2 groups; 20 patients for laparoscopic appendectomy(LA)group and 20 patients for open appendectomy(OA) group. Patients were fully informed about the risks and benefits of the two procedures. Informed consent was obtained from all patients. LA was done with the help of three trocar/cannulae creating pneumoperitoneum with CO2 whereas OA was performed by McBurney incision. The operating time in OA group was (34.50±11.48 min.) with range(20-60 min.)and in LA group it was (56.42±8.69 min.) with range (30-70 min.).