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Laparoscopic versus open appendectomy: prospective randomized trial

J B Hansen1, B M Smithers, D Schache

  • 1Department of Surgery, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

World Journal of Surgery
|January 1, 1996
PubMed
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Laparoscopic appendectomy offers a safe alternative to open surgery for acute appendicitis. Patients experience fewer wound infections and a quicker recovery, making it a beneficial option despite a longer operating time.

Area of Science:

  • Surgery
  • Gastroenterology
  • Minimally Invasive Procedures

Background:

  • Acute appendicitis is a common surgical emergency.
  • Open appendectomy has been the standard treatment.
  • Laparoscopic techniques offer potential benefits in abdominal surgery.

Purpose of the Study:

  • To compare the outcomes of laparoscopic appendectomy versus open appendectomy.
  • To evaluate safety, efficacy, and patient recovery.
  • To determine if laparoscopic appendectomy is a viable alternative for acute appendicitis.

Main Methods:

  • Prospective randomized trial comparing laparoscopic and open appendectomy.
  • 151 patients with acute appendicitis were randomized.
  • Outcomes assessed included operating time, wound infections, pain management, return to activity, morbidity, and discharge time.

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Main Results:

  • Laparoscopic appendectomy had a longer median operating time (63 vs. 40 minutes).
  • Fewer wound infections (2% vs. 11%) and less need for narcotic analgesia in the laparoscopic group.
  • Earlier return to normal activity (median 7 vs. 14 days) for laparoscopic appendectomy.
  • No significant difference in overall morbidity or median time to discharge (3 days).

Conclusions:

  • Laparoscopic appendectomy is a safe and effective treatment for acute appendicitis.
  • Advantages include reduced wound infections and faster recovery.
  • It represents a worthwhile alternative to open appendectomy.