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Comparison between open and laparoscopic appendectomy in non-complicated appendicitis.

Aura F Delgado Cifuentes¹, Ramón K Sotomayor

¹Universidad Central del Caribe, Bayamón, Puerto Rico.

Boletin De La Asociacion Medica De Puerto Rico

|September 4, 2008

Summary

Laparoscopic appendectomy (LA) and open appendectomy (OA) show similar outcomes for non-complicated appendicitis regarding hospital stay and complications. LA has a lower readmission rate, making it a safe alternative to OA.

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Area of Science:

Surgery
Gastroenterology
Medical Research

Background:

Limited studies from Puerto Rico compare open (OA) vs. laparoscopic appendectomy (LA) for non-complicated appendicitis.
Appendectomy is a common surgical procedure for appendicitis.

Purpose of the Study:

To compare OA and LA in Puerto Rico for non-complicated appendicitis.
Evaluate operative time, length of stay, complications, and readmissions for both techniques.

Main Methods:

Retrospective study of 126 patients (64 OA, 62 LA) with non-complicated appendicitis.
Data collected included demographics, surgery time, hospital stay, complications, and readmissions.

Main Results:

LA had longer operating room and surgery times than OA.
No significant difference in hospital stay or in-hospital complications.
Negative appendectomy rate was 24% for LA vs. 3% for OA.
Readmission rate was higher for OA (5% wound infection).

Conclusions:

Both OA and LA are safe and comparable for non-complicated appendicitis regarding hospital stay and complications.
LA demonstrated a lower readmission rate.
The study highlights potential concerns regarding the low negative appendectomy rate in OA, suggesting possible delays in surgical intervention.