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Related Experiment Video

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Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy
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Laparoscopic versus open appendectomy; which method to choose? A prospective randomized comparison.

Saeed Kargar1, Mohammad Hussein Mirshamsi, Mohammad Zare

  • 1Department of Surgery, General Surgeon, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Saeedkargar@ssu.ac.ir

Acta Medica Iranica
|August 30, 2011
PubMed
Summary
This summary is machine-generated.

Laparoscopic appendectomy (LA) shows fewer complications and shorter hospital stays than open appendectomy (OA). However, open appendectomy may result in less initial post-operative pain. Individual patient factors should guide the choice between LA and OA.

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Area of Science:

  • General Surgery
  • Surgical Outcomes
  • Comparative Effectiveness

Background:

  • Appendicitis is a common surgical emergency, with open (OA) and laparoscopic appendectomy (LA) techniques debated for optimal outcomes.
  • The choice between OA and LA remains controversial in clinical practice.

Purpose of the Study:

  • To compare the outcomes of open appendectomy (OA) versus laparoscopic appendectomy (LA) in a single center.
  • To evaluate operative time, complications, pain, hospital stay, and return to normal activity.

Main Methods:

  • A randomized study of 100 patients undergoing appendectomy at Shahid Sadoughi hospital.
  • Patients were randomized to either OA (McBurney's incision) or LA.
  • Data collected included operation time, complications, pain (VAS), hospital stay, and follow-up assessments.

Main Results:

  • Laparoscopic appendectomy (LA) had a significantly shorter average operation time (34.4 min) compared to open appendectomy (OA) (41.7 min).
  • Post-operative complication rates were higher in the OA group (10) than in the LA group (3).
  • Mean hospital stay was shorter for OA (42.96 hours) compared to LA (52.32 hours), though LA offered better cosmetic results and fewer complications.

Conclusions:

  • Laparoscopic appendectomy (LA) is associated with fewer complications and a shorter hospital stay than open appendectomy (OA).
  • Open appendectomy (OA) demonstrated less post-operative pain at 6 and 12 hours.
  • The decision for appendectomy technique should be individualized based on patient factors.