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Related Experiment Videos

Laparoscopic versus open appendectomy: a prospective randomized double-blind study.

Namir Katkhouda1, Rodney J Mason, Shirin Towfigh

  • 1Division of Emergency Non-Trauma Surgery, University of Southern California, Keck School of Medicine, Los Angeles, CA 90033, USA. Nkatkhouda@surgery.usc.edu

Annals of Surgery
|September 2, 2005
PubMed
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Laparoscopic appendectomy shows no significant advantage over open surgery in most outcomes, except for improved quality of life at two weeks. Operating time is longer for the laparoscopic approach.

Area of Science:

  • General Surgery
  • Minimally Invasive Surgery

Background:

  • The established value of laparoscopic appendectomy remains unclear due to study limitations.
  • This study aimed to compare laparoscopic versus open appendectomy.

Purpose of the Study:

  • To compare the safety and benefits of laparoscopic appendectomy against open appendectomy.
  • To evaluate postoperative complications, pain, activity levels, and quality of life.

Main Methods:

  • A prospective randomized double-blind study involving 247 patients undergoing either laparoscopic or open appendectomy.
  • Standardized wound dressings were used for blinding. Key outcomes included postoperative complications, pain, activity scores, diet resumption, and length of stay.

Main Results:

Related Experiment Videos

  • No mortality was observed. Overall complication rates were similar (18.5% laparoscopic vs. 17% open).
  • Laparoscopic appendectomy had a longer operating time (80 vs. 60 minutes) but no differences in pain, diet, or length of stay.
  • Quality of life scores (SF36) were significantly better in the laparoscopic group at two weeks. Complication rates for acute or complicated appendicitis were similar regardless of technique.

    • Conclusions:

    • Laparoscopic appendectomy offers no significant advantage over open appendectomy in most parameters, except for improved quality of life at two weeks.
    • The laparoscopic approach requires a longer operative time. Procedure choice may depend on surgeon or patient preference.