Comparative Evaluation of Open and Laproscopic Method of Appendectomy in Acute Appendicitis

Open and Laproscopic Method of Appendectomy in Acute Appendicitis

Keywords: Appendectomy, Open vs laparoscopic appendectomy

Abstract

Background: There is definitely added advantage of laparoscopic operations. Most of the surgeons now prefer these minimally invasive proce- dures. Laparoscopy has become the number one choice of educated and affording patients. The aim of the study was to compare and evaluate the open and laproscopic method of appendectomy in acute appendicitis. Subjects and Methods: The subjects undergoing appendectomy  were evaluated for age, sex, episode number, duration of pain before presentation in hospital, operative time, conversion rate, wound infection, post-operative intra-abdominal abscess formation, and stay in hospital. Results: It was found that average operative time in open surgery was

67.5 minutes and 104 minutes in laparoscopic surgery, with a conversion to open in about 20% of the cases. Oral feeding in the open group was around the 5th day while it was around 2nd day in the laparoscopic group. Average hospital stay was also low in the laparoscopic group, being only around 5 days in laparoscopic group and around 8 days in the open group. Overall complications were also low in the laparoscopic surgery group. Conclusion: It was noted that though conversion to open operation was definitely high but there were other advantages of laparoscopic surgery as well. Stay in the hospital, beginning of oral feeds, requirement of analgesics, wound infection, intra-abdominal abscess; pulmonary complications were less in laparoscopy group.

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References

Ponnusamy K, Mohr C, Curet MJ. Clinical outcomes with robotic surgery. Curr Probl Surg. 2011;48(9):577–656.

Dobbs TD, Cundy O, Samarendra H, Khan K, Whitaker IS. A Systematic Review of the Role of Robotics in Plastic and Reconstructive Surgery-From Inception to the Future. Front Surg. 2017;15(4):66–66.

Yau KK, Siu WT, Tang CN, Yang GPC, Li MKW. Laparo- scopic Versus Open Appendectomy for Complicated Appen- dicitis. J Am Coll Surg. 2007;205(1):60–65. Available from: https://dx.doi.org/10.1016/j.jamcollsurg.2007.03.017.

Pokala N, Sadhasivam S, Kiran RP, Parithivel V. Com- plicated Appendicitis–Is the Laparoscopic Approach Appro- priate? A Comparative Study with the Open Approach: Outcome in a Community Hospital Setting. Am Surg. 2007;73(8):737–742. Available from: https://dx.doi.org/10.1177/000313480707300801.

Garg CP, Vaidya BB, Chengalath MM. Efficacy of laparoscopy in complicated appendicitis. Int J Surg. 2009;7(3):250–252. Available from: https://dx.doi.org/10.1016/j.ijsu.2009.04.007.

Beldi G, Vorburger SA, Bruegger LE, Kocher T, Inderbitzin D, and DC. Analysis of staplingversus endoloops in appendiceal stump closure. Br J Surg. 2006;93(11):1390–1393. Available from: https://dx.doi.org/10.1002/bjs.5474.

Sahm M, Kube R, Schmidt S, Ritter C, Pross M, Lippert H. Current analysis of endoloops in appendiceal stump closure. Surg Endosc. 2011;25(1):124–129. Available from: https://dx.doi.org/10.1007/s00464-010-1144-5.

Ohno Y, Furui J, Kanematsu T. Treatment strategy when using intraoperative peritoneal lavage for perforated appen- dicitis in children: a preliminary report. Pediatr Surg Int. 2004;20(7):534–541. Available from: https://dx.doi.org/10.1007/s00383-004-1210-y.

Agresta F, Ansoloni L, Baiocchi GL, Bergamini C, Campanile FC, Carlucci M. Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Societa Italiana di Chirurgia Endoscopica. Surg Endosc. 2012;26:2134–64.

Moore CB, Smith RS, Herbertson R, Toevs C. Does Use of Intraoperative Irrigation with Open or Laparoscopic Appendec- tomy Reduce Post-Operative Intra-abdominal Abscess? Am Surg. 2011;77(1):78–80. Available from: https://dx.doi.org/10.1177/000313481107700126.

Peter SDS, Adibe OO, Iqbal CW, Fike FB, Sharp SW, Juang D, et al. Irrigation Versus Suction Alone During Laparoscopic Appendectomy for Perforated Appendicitis. Ann Surg. 2012;256(4):581–585. Available from: https://dx.doi.org/10.1097/sla.0b013e31826a91e5.

Schein M. To drain or not to drain? The role of drainage in the contaminated and infected abdomen: an international and personal perspective. World J Surg. 2008;138:314–338.

Pessaux P, Msika S, Atalla D, Hay JM, Flammant Y. Risk factors for postoperative infectious complication in noncolorectal abdominal surgery : a multivariate analysis based on a prospective multicenter study of 4718 patients. Arch Surg. 2003;138:314–338.

Sleem R, Fisher S, Gestring M, Cheng J, Sangosanya A, Stassen N, et al. Perforated appendicitis: Is early laparoscopic appendectomy appropriate? Surgery. 2009;146(4):731–738. Available from: https://dx.doi.org/10.1016/j.surg.2009.06.053.

Masoomi H, Mills S, Dolich MO, Ketana N, Carmichael JC, Nuguen NT. Comparison of outcomes of laparoscopic versus open appendectomy in adults. J Gastrointest Surg. 2006;15:2226–2257.

Published
2020-05-26