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Video-assisted laparoscopic extracorporeal appendectomy versus open appendectomy.

Arshad M Malik¹, Altaf H Talpur, Aziz A Laghari

¹Department of Surgery, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan. arshadhamzapk@yahoo.com

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A

|April 29, 2009

Summary

Video-assisted extracorporeal appendectomy (VAECA) offers a shorter operating time and fewer complications compared to open appendectomy (OA). This minimally invasive approach results in better cosmetic outcomes and reduced hospital stays for appendicitis patients.

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Area of Science:

Surgical Innovation
Minimally Invasive Surgery
Gastrointestinal Surgery

Background:

Laparoscopic appendectomy (LA) encompasses intracorporeal appendectomy (ICA) and video-assisted extracorporeal appendectomy (VAECA).
Open appendectomy (OA) remains a standard treatment for acute appendicitis.

Purpose of the Study:

To compare the feasibility and effectiveness of VAECA against OA.
To evaluate outcomes including operative time, complications, and hospital stay.

Main Methods:

A comparative descriptive study included 283 patients with acute appendicitis.
Patients were divided into two groups: OA (150 patients) and VAECA (133 patients).
Exclusion criteria included patients under 10 years and those with suspected appendicular mass.

Main Results:

VAECA demonstrated significantly shorter mean operating times compared to OA (p < 0.001).
VAECA group showed lower rates of operative complications (p < 0.001), postoperative complications (p < 0.01), and hospital stay (p < 0.001).
Postoperative infection incidence was higher in the OA group. Excellent cosmetic results were observed with VAECA.

Conclusions:

VAECA is a viable alternative to OA for simple appendicitis cases.
VAECA offers advantages in terms of reduced complications and improved cosmesis.