Comparison of the Laparoscopic and open Methods for Appendectomy Clinical Outcomes
Authors/Creators
- 1. Assistant Professor, Department of General Surgery, Gujarat Adani Institute of Medical Science, India
Description
Background and Aim: The most frequent surgical procedure carried out during emergency surgery is an appendectomy. Both open (OA) and laparoscopic (LA) procedures are still used to perform appendectomy due to a lack of agreement regarding the best procedure. The goal of the current study is to assess the benefits and drawbacks of two surgical approaches, namely open and laparoscopic appendectomy, for this most prevalent abdominal emergency. Material and Methods: This observational study was conducted over the course of two years using data from patients who underwent open or laparoscopic appendectomy procedures for acute appendicitis. Patients undergoing open and laparoscopic appendectomy procedures had their surgical timeframes, conversion rates, complication rates, and length of hospital stay compared. Results: Finally, the study included 150 patients who underwent appendectomy within the designated study period. Of these, 50 (33.33%) underwent laparoscopic appendectomy, and 100 (66.66%) underwent open appendectomy. Laparoscopic surgery took longer to complete and required a longer hospital stay than open surgery, but both treatments had about the same rate of complications. In comparison to the open group, the laparoscopic group had higher incidence of intra-abdominal collection. Conclusion: According to the current study, a skilled surgeon can easily complete a laparoscopic appendectomy. Laparoscopic appendectomy was found to have a lower overall complication rate and shorter hospital stay, but surgical duration was slightly longer. Although there was a modest increase in intraabdominal collection among the laparoscopic group, this did not significantly affect the operative outcome. Although there is no agreement on the optimum strategy, both techniques are still actively used, leaving the decision to the patient and surgeon’s preferences.
Abstract (English)
Background and Aim: The most frequent surgical procedure carried out during emergency surgery is an appendectomy. Both open (OA) and laparoscopic (LA) procedures are still used to perform appendectomy due to a lack of agreement regarding the best procedure. The goal of the current study is to assess the benefits and drawbacks of two surgical approaches, namely open and laparoscopic appendectomy, for this most prevalent abdominal emergency. Material and Methods: This observational study was conducted over the course of two years using data from patients who underwent open or laparoscopic appendectomy procedures for acute appendicitis. Patients undergoing open and laparoscopic appendectomy procedures had their surgical timeframes, conversion rates, complication rates, and length of hospital stay compared. Results: Finally, the study included 150 patients who underwent appendectomy within the designated study period. Of these, 50 (33.33%) underwent laparoscopic appendectomy, and 100 (66.66%) underwent open appendectomy. Laparoscopic surgery took longer to complete and required a longer hospital stay than open surgery, but both treatments had about the same rate of complications. In comparison to the open group, the laparoscopic group had higher incidence of intra-abdominal collection. Conclusion: According to the current study, a skilled surgeon can easily complete a laparoscopic appendectomy. Laparoscopic appendectomy was found to have a lower overall complication rate and shorter hospital stay, but surgical duration was slightly longer. Although there was a modest increase in intraabdominal collection among the laparoscopic group, this did not significantly affect the operative outcome. Although there is no agreement on the optimum strategy, both techniques are still actively used, leaving the decision to the patient and surgeon’s preferences.
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IJPCR,Vol15,Issue3,Article109.pdf
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Additional details
Dates
- Accepted
-
2023-03-10
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue3,Article109.pdf
- Development Status
- Active
References
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