Comparative Analysis of Clinical Outcomes of Open Appendectomy and Laparoscopic Appendectomy

Ravichandran Subramaniam
2018 International Journal of Contemporary Medical Research   unpublished
Open appendectomy (OA) is standardized among surgeons and, OA is typically completed using a small right lower quadrant incision and postoperative recovery is usually uneventful. It is the second most common general surgical procedure performed in India and the most common intra-abdominal surgical emergency, with a lifetime risk of 6%. Study aimed to compare the clinical outcomes between laparoscopic and open appendectomy. Material and methods: The present study was conducted in the Department
more » ... in the Department of General Surgery of our medical college. For the study, we retrospectively viewed the medical records of patients aged 60 years or more with acute appendicitis who underwent Laparoscopic appendectomy (LA) and were compared to patients who underwent open appendectomy (OA). A total of 70 patients (35 each for LA and OA) were selected. The analysis of preoperative, intra-operative, and postoperative parameters was done and was compared. Results: A total of 70 patients were included in the study. Out of 70 patients, 35 patients underwent Laparoscopic appendectomy and 35 underwent open appendectomy. The Male/Female ratio in LA and OA group was 19/16 and 21/14 respectively. The mean age of patients in LA group was 63.1+3.2 years and in OA group was 66.2+3.1. The mean body weight of LA and OA group was 60.2+5.2 Kg and 61.9+3.1 kg respectively. The mean operative time period for LA was 101.8 minutes and for OA was 129.8 minutes. Blood loss more than 500 mL was seen in 5 patient for LA and 8 patients for OA. The nasogastric tube was employed in 6 patients in LA and 9 patients in OA. The mean postoperative stay after completion of procedure was 5.9 days for LA and 8.78 for OA. Conclusion: Laparoscopic appendectomy is safer procedure in comparison to open appendectomy. The postoperative stay at hospital was shorter with Laparoscopic appendectomy.
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