A PROSPECTIVE COMPARATIVE STUDY OF LAPAROSCOPIC APPENDICECTOMY VERSUS OPEN APPENDICECTOMY

• Published in: Journal of evolution of medical and dental sciences Vol. 7; no. 33; pp. 3657 - 3660
• Main Authors: Roy, Joy, Mukhopadhyay, Arunima
• Format: Journal Article
• Language: English
• Published: Akshantala Enterprises Private Limited 13.08.2018
• Subjects: Analysis; Appendectomy; Comparative analysis; Laparoscopy; Treatment outcome; India
• ISSN: 2278-4748; 2278-4802
• DOI: 10.14260/jemds/2018/821

BACKGROUND Appendicular pathology presenting as acute appendicitis is the most frequent cause of persisting progressive lower abdominal pain in all age groups of patients. For more than a century, the traditional open method of appendicectomy has been both safe and effective. However, recent literature suggests that patients undergoing laparoscopic appendicectomy have a faster postoperative recovery. The aim of the study is to compare the open and laparoscopic methods of appendicectomy in general surgical practice in terms of operating time and certain postoperative parameters including pain, cosmesis, length of hospital stay and postoperative complications. MATERIALS AND METHODS This is a non-randomised controlled trial study. The total population group included 73 patients (Age group between 18-60 yrs.). 36 patients had laparoscopic appendicectomy (Group-A) and 37 patients had open appendicectomy (Group-B). This study was carried out in the Department of General Surgery at Calcutta National Medical College. The study was done over a period of one year from 01.01.2016 to 01.01.2017. The data derived from our study was statistically analysed using [X.sup.2] Chi-square test and Mann-Whitney U test. P < 0.05 was taken as the level of significance. RESULTS Patients having laparoscopic appendicectomy had a shorter hospital stay (3 days vs. 5 days, p < 0.1). The operating time for the laparoscopic procedure was longer (60 mins vs 30 mins, p < 0.001). The incidence of postoperative morbidity following both procedures were comparable. CONCLUSION Both laparoscopic and open methods of appendicectomy are feasible, safe and effective for treating appendicitis. In our study postoperative pain, wound infection and duration of hospital stay were less after laparoscopic surgery. However, the operating time for the laparoscopic method was longer. Therefore, in our study laparoscopic appendicectomy was found to enjoy an overall advantage in terms of postoperative recovery. KEY WORDS Laparoscopic Appendicectomy, Appendicectomy, Laparoscopic versus Open Appendicectomy.