Laparoscopic versus Open Appendectomy: Where Are We Now
G. Cipe, O. Idiz, M. Hasbahceci, S. Bozkurt, H. Kadioglu, H. Coskun, O. Karatepe, M. MuslumanogluOriginal article, no. 4, 2014
Purpose: Although the advantages of laparoscopic procedureshas been well studied over the last two decade, laparoscopicappendectomy could not to be a standard therapy due to somedisadvantages such as longer operative time and higher cost.The objective of our study is to re-evaluate the outcomes oflaparoscopic versus open appendectomy with current data.Methods: Between January 2012 and July 2012, the data of thepatients who had appendectomy were recorded prospectively.Patients’ demographics, duration of procedure, length ofhospital stay, need of analgesics, postoperative visual analoguescale scores and morbidity were assessed.Results: Of 241 patients, 120 (49.8%) underwent open and121(50.2%) laparoscopic appendectomy. The operating timewas similar for both groups (p=0.855). The visual analog scalescores of 1st (p=0.001), 6th (p=0.001) and 12th (p=0.028) hourswere higher in open the appendectomy group. The total needof analgesics significantly was higher in open group (p=0.001).There was no statistical difference in terms of total morbidityrate between open and laparoscopic appendectomy groups(p=0.617). Conclusion: Two operative techniques are similar in terms oflength of hospital stay, operative time, and postoperativecomplications. Laparoscopic appendectomy reduces theneed for analgesics and visual analog scale scores; therefore,it should be considered as the gold standard for surgicaltreatment of acute appendicitis.
