A Comparative study of Laparoscopic versus Open Appendicectomy in a Tertiary Hospital of Lucknow

Dr.Praveen Kumar Arya; Dr Saurabh Pathak

Volume : VI, Issue : XII, December - 2016

A Comparative study of Laparoscopic versus Open Appendicectomy in a Tertiary Hospital of Lucknow

Dr. Praveen Kumar Arya, Dr Saurabh Pathak

Abstract :

Background: Appendicitis is a common cause of acute abdomen and appendectomy is the treatment of choice, which can be done either by open or laparoscopic approach. Laparoscopic appendicectomy (LA) has struggled to prove its superiority over the open technique. Objectives: This study aimed to compare the surgical outcomes and cost efficiency of laparoscopic versus open appendectomy. Material and Methods: This study was done in a tertiary care medical hospital in Lucknow, India. 150 consecutive patients who were diagnosed to have appendicitis and requiring surgical intervention were selected after obtaining their informed consent to participate in the study. 75 patients each were randomly chosen to undergo either open or laparoscopic appendectomy. Data was collected from each patient on the basis of clinical, preoperative findings as well as postoperative recovery and follow up. Statistical analysis was done using SPSS Version 17.0. Results: 63% of patients were male and 58.6% were under 25 years of age. Nausea and vomiting were the common symptoms. Laparoscopic appendectomy took more time than open appendectomy (45 mins Vs 55 mins). Pain was significantly lower in laparoscopic appendectomy compared to open appendectomy. Post operative complications, length of stay, time to return back to work were all lesser among patients who underwent laparoscopic appendectomy. Conclusion: As laparoscopic appendectomy is associated with fewer complications, shorter hospital stay, almost similar operative time, lower rate of intraabdominal abscess and marginally higher cost of treatment when compared to open appendicectomy, it can be recommended as the preferred approach of treatment for acute appendicitis.