Laparoscopic versus Open Appendectomy:
A Comparison of Primary Outcome Studies
from Southern India
Dr. B V Goudar, Associate Professor, Dept. of Surgery,
SN Medical College and HSK Hospital,
Bagalkot, Karnataka, India-587101,
Currently, laparoscopic appendectomy is widely practiced for the management of acute appendicitis. It is not clear whether open or laparoscopic appendectomy is more appropriate. Our aim was to compare the safety and the advantages of laparoscopic versus open appendectomy in a prospective randomized study.
Methods: Two hundred and forty patients were randomly divided into two groups. The group A patients were subjected to laparoscopic appendectomy [LA], whereas the group B patients were subjected to open appendectomy [OA]. The demography and the primary outcome measures of the patients such as operative duration, hospital stay, post-operative pain and post operative complications were recorded and analyzed.
There were 120 patients in group A and group B each. Of the 120 patients in group A, 6 patients were selected for open appendectomy. The operative time for LA and OA were 18-80 (49)minutes and 30-120 (72) minutes respectively. Although LA was associated with a shorter hospital stay [LA-2.5 days versus OA-4.25 days]; the postoperative complication rates were comparable between the two groups.
LA is safe and superior to OA with respect to an early discharge, lesser postoperative pain, decreased wound infection, early return to work and a better cosmetic scar.