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Comparison of Open Appendectomy and Laparoscopic Appendectomy in Perforated Appendicitis
Aamna Nazir1, Sarosh Afzal Farooqi1, Noman A Chaudhary2
1Surgery, Holy Family Hospital, Rawalpindi, PAK.
Cureus
|September 17, 2019
Summary
For perforated appendicitis, laparoscopic appendectomy significantly reduces surgical site infections and operating time compared to open appendectomy. Hospital stay duration showed no significant difference between the two surgical approaches.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
Background:
- Laparoscopic appendectomy is linked to better outcomes in non-perforated appendicitis.
- The efficacy of laparoscopic versus open appendectomy in perforated cases requires further investigation.
Purpose of the Study:
- To compare laparoscopic appendectomy and open appendectomy in patients with perforated appendix.
- To evaluate differences in surgical site infection, operating time, and hospital stay.
Main Methods:
- Prospective randomized study of 130 patients with perforated appendix.
- Random allocation to either laparoscopic or open appendectomy.
- Data analyzed using IBM SPSS Statistics.
Main Results:
- Surgical site infection rate was significantly lower in the laparoscopic group (10.77%) versus open appendectomy (27.69%; p=0.01).
- Mean operating time was shorter for laparoscopic appendectomy (46.98 min) compared to open appendectomy (53.02 min; p<0.000).
- Mean hospital stay was comparable between groups (4.38 days laparoscopic vs. 4.18 days open; p=0.23).
Conclusions:
- Laparoscopic appendectomy demonstrates superior outcomes in perforated appendicitis regarding infection rates and operative duration.
- The findings support laparoscopic appendectomy as a preferred method for perforated appendix cases.
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