Comparative analysis of laparoscopic versus open surgery in appendicitis management

Area of Science:

• Surgery
• Gastroenterology

Background:

• Acute appendicitis remains a frequent surgical emergency.
• The optimal surgical approach between open appendectomy (OA) and laparoscopic appendectomy (LA) is debated.

Purpose of the Study:

• To compare the effectiveness of LA versus OA for acute appendicitis.
• To evaluate postoperative outcomes including operation time, hospitalization, and complications.

Main Methods:

• Retrospective cohort study of 250 patients undergoing LA (n=155) or OA (n=95).
• Data collected on operation time, hospital stay, postoperative complications, and pain scores.

Main Results:

• LA involved longer operation times but significantly shorter hospital stays.
• Laparoscopic appendectomy demonstrated reduced surgical-site infections and faster functional recovery.
• Patients in the LA group reported lower 24-hour pain scores.

Conclusions:

• Laparoscopic appendectomy is more effective for managing acute appendicitis regarding postoperative outcomes.
• LA offers advantages in recovery and complication rates compared to OA.