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A comparative study of routine laparoscopic versus open appendectomy
Jamy L Yong1, Wai Lun Law, Chung Yau Lo
1Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong, China.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|August 3, 2006
Summary
Laparoscopic appendectomy (LA) is a safe and effective treatment for acute appendicitis, leading to shorter hospital stays compared to open appendectomy (OA). This minimally invasive approach also improves the diagnosis of other intra-abdominal conditions.
Area of Science:
- Minimally invasive surgery
- Gastrointestinal surgery
- Surgical outcomes
Background:
- Acute appendicitis is a common surgical emergency.
- Laparoscopic appendectomy (LA) is increasingly used as an alternative to open appendectomy (OA).
- Evaluating the outcomes of LA is crucial for surgical practice.
Purpose of the Study:
- To compare the outcomes of laparoscopic appendectomy (LA) with open appendectomy (OA) for suspected acute appendicitis.
- To assess the safety and efficacy of routine laparoscopy in appendicitis management.
- To evaluate the diagnostic accuracy of laparoscopy for other intra-abdominal pathologies.
Main Methods:
- Retrospective study comparing patients undergoing LA versus OA.
- Data collected included preoperative, intraoperative findings, and clinical outcomes.
- Outcomes analyzed: complication rates, hospital stay duration, and operative time.
Main Results:
- Laparoscopic appendectomy (LA) group (82 patients) showed a median hospital stay of 3.0 days versus 4.0 days for open appendectomy (OA) group (119 patients) (P = 0.037).
- Postoperative complication rates were similar between LA (13.4%) and OA (15.8%) groups.
- Laparoscopic appendectomy (LA) allowed for more accurate diagnosis of other intra-abdominal pathologies.
Conclusions:
- Routine laparoscopy and laparoscopic appendectomy (LA) are safe for suspected acute appendicitis.
- LA is associated with a significantly shorter hospital stay compared to OA.
- Laparoscopic approach enhances diagnostic accuracy for concurrent intra-abdominal conditions.