Clinical Comparative Analysis of Laparoscopic Appendectomy and Open Appendectomy
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2017, Vol 5, Issue 11
Abstract
Background: Both surgical methods are safe and well established in clinical practice but there has been a controversy about which surgical procedure is the most appropriate. Several studies have shown the advantages of laparoscopic surgery in terms of shorter hospital stay, rapid postoperative recovery, and better pain control. Aim of the study: To compare laparoscopic appendectomy and open appendectomy. Materials and methods: The study was conducted in the department of general surgery of the medical institute. 72 patients reporting to the surgical OPD with features of acute appendicitis were included in our study. All patients underwent minimum of 2 follow-ups - first after 1 week and 6 months later. Comparable data was tabulated and analyzed statistically to reach a conclusion regarding the surgical outcomes of both procedures. Results: A total of 72 patients were included in the study; with 36 patients in each group. Mean duration of post-operative pain was 2.1 days and 4.3 days. Post-operative complications rate was 6%for laparoscopic appendectomy and 14% for open appendectomy. Mean cost was Rs. 18292 for laparoscopic appendectomy and Rs. 13392 for open appendectomy. Conclusion: Laparoscopic appendectomy is safe and equally efficient compared to the conventional technique and can be recommended as the preferred approach for the treatment of acute appendicitis.
Authors and Affiliations
Ram Shringar Dubey
Keywords
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