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Laparoscopic versus open appendectomy in West Bengal, India
1Department of Surgery, Burdwan Medical College, Burdwan, West Bengal, India. utpalde@vsnl.net
Chinese Journal of Digestive Diseases
|October 26, 2005
Summary
Laparoscopic appendectomy offers significant benefits over open surgery for acute appendicitis, including fewer complications and shorter hospital stays. This minimally invasive approach enhances patient recovery and clinical comfort.
Area of Science:
- Surgical Innovation
- Gastrointestinal Surgery
- Minimally Invasive Procedures
Background:
- Laparoscopic appendectomy is gaining traction but lacks extensive data in India.
- Acute appendicitis management requires effective and safe surgical options.
Purpose of the Study:
- To compare laparoscopic appendectomy (LA) with open appendectomy (OA).
- To evaluate the therapeutic benefits of LA in acute appendicitis management.
Main Methods:
- A comparative study of 279 acute appendicitis patients: 100 LA and 179 OA.
- Analysis of hospital stay, operating time, morbidity, convalescence, and cost.
- Statistical analysis using Mann-Whitney and Z-tests.
Main Results:
- LA had significantly lower overall complication rates (15% vs. 31.8%).
- LA resulted in a shorter median hospital stay (3 days vs. 5 days).
- OA had a slightly shorter operating time (25 min vs. 28 min).
Conclusions:
- Laparoscopic appendectomy leads to shorter hospital stays and comparable costs.
- LA improves clinical outcomes with fewer wound infections and faster recovery.
- LA offers enhanced cosmesis and earlier return to work.