A COMPARITIVE STUDY OF SAFETY AND BENFITS IN BETWEEN LAPAROSCOPIC APPENDICECTOMY VERSUS OPEN APPENDICECTOMY.
Journal Title: IJSR-International Journal Of Scientific Research - Year 2018, Vol 7, Issue 8
Abstract
The aim of this study is to compare the safety and benefits of laparoscopic versus open appendectomy in a prospective randomized study. Methods: Two hundred fifty patients were analyzed following either laparoscopic or open appendectomy. The main outcome measures were postoperative complications. Secondary outcome measures included evaluation of pain and activity scores at base line preoperatively and on every postoperative day, as well as resumption of diet and length of hospital stay. Activity scores and quality of life were assessed on short-term follow-up. Results: There was no mortality. The overall complication rate was similar in both groups (17.5% versus 16% in the laparoscopic and open groups respectively), but some early complications in the laparoscopic group required a reoperation. Operating time was significantly longer in the laparoscopic group (60 minutes versus 40 minutes; P = 0.000) while there was no difference in the pain scores and medications, resumption of diet, length of stay, or activity scores. At 2 weeks, there was no difference in the activity or pain scores, Appendectomy for acute or complicated (perforated and gangrenous) appendicitis had similar complication rates, regardless of the technique (P = 0.181). Conclusions Unlike other minimally invasive procedures, laparoscopic appendectomy did not offer a significant advantage over open appendectomy in all studied parameters except quality of life scores at 2 weeks. It also took longer to perform. The choice of the procedure should be based on surgeon or patient preference.
Authors and Affiliations
Dr. Suri Appa Rao Malla
Keywords
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