Needlescopic appendectomy versus conventional laparoscopic appendectomy in young patients

Area of Science:

• Minimally invasive surgery
• Surgical techniques
• Gastrointestinal surgery

Background:

• Needlescopic appendectomy (NA) is recognized for reduced trauma and improved cosmesis.
• Appendicitis remains a common surgical emergency.
• Younger patients often prioritize cosmetic outcomes post-surgery.

Purpose of the Study:

• To compare the efficacy and outcomes of NA versus conventional laparoscopic appendectomy (CLA).
• To evaluate NA in patients under 40 years old with appendicitis, focusing on cosmetic considerations.
• To assess operative time, length of stay, and complication rates.

Main Methods:

• Retrospective review of appendicitis patients under 40 (2013-2017).
• Comparison of two groups: NA (n=54) and CLA (n=53).
• Data analysis included demographics, operative details, and postoperative outcomes.

Main Results:

• No significant demographic differences between NA and CLA groups.
• NA demonstrated significantly shorter operative times (P=.0005) and hospital stays (P=.03).
• Complication rates were similar between NA and CLA procedures.

Conclusions:

• Needlescopic appendectomy is an effective surgical option for appendicitis in young patients.
• NA provides comparable safety to CLA with potential benefits in operative efficiency and recovery.
• The technique is suitable for patients prioritizing cosmetic results after appendectomy.