Laparoscopic Appendectomy versus Open Appendectomy in Acute Appendicitis

Area of Science:

• General Surgery
• Minimally Invasive Surgery
• Acute Care Surgery

Background:

• Appendectomy is the most common emergency surgery.
• Both open and laparoscopic appendectomy are performed for acute appendicitis.
• Optimal surgical approach remains debated.

Purpose of the Study:

• To compare outcomes of laparoscopic versus open appendectomy for acute appendicitis.
• Evaluate operative time, pain, hospital stay, complications, and cost.
• Provide data to inform surgical decision-making.

Main Methods:

• Prospective comparative study of 52 patients.
• 26 patients in laparoscopic appendectomy group.
• 26 patients in open appendectomy group.
• Outcomes assessed: operative time, postoperative pain, hospital stay, complications, and cost.

Main Results:

• Laparoscopic appendectomy showed significantly longer post-operative recovery time (30 min vs 20 min, p<0.01).
• Laparoscopic appendectomy was significantly costlier (Nrs. 26295 vs Nrs. 19575, p<0.01).
• No significant differences in operative time, pain, or complications between groups.

Conclusions:

• Laparoscopic appendectomy leads to longer recovery and higher costs compared to open appendectomy.
• The choice between laparoscopic and open appendectomy may depend on patient preference.
• Further research may explore long-term outcomes and patient satisfaction.