Laparoscopic versus Open Appendectomy: Where Are We NowG. Cipe, O. Idiz, M. Hasbahceci, S. Bozkurt, H. Kadioglu, H. Coskun, O. Karatepe, M. Muslumanoglu
Original 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.PatientsÃ¢Â€Â™ 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.