Laparoscopic appendectomy in comparison with open traditional surgery for suspected cases of acute appendicitis

الملخص

Background For more than a century, open appendectomy remained the gold standard for the treatment of acute appendicitis. Now laparoscopic appendectomy has struggled to prove its superiority of performing general surgical procedure.
Objective is to compare the safety and benefits of laparoscopic appendectomy with open appendectomy.
Patients &Methods a prospective study has been done in AL- Yarmouk teaching hospital and private hospitals, 130 patients were selected from April, 2013 to April 2014. 30 patients excluded from the study and hundred patients were Divided into two groups, group A ( 40) patients with acute appendicitis treated by laparoscopic appendectomy) and group B ( 60) patients treated by open appendectomy), after taking informed consent. The main outcome measures included was operative time, postoperative complications, return to oral feeding and hospital stay.
Results 40 patients treated by laparoscopic appendectomy, there was no significant difference between two groups in age, body build, clinical and laboratory findings. Mean age group was 30 years, male to female ratio was 1.2:1 in compare to 1.3:1 in group B. Operating time was 45 min. with time range (35-55min), while in group B, operating time was 40 min. Postoperative analgesia requirement was 1.1 in group A, and 3.1 in group B. Five patients(12.5%) was converted to OA in group A. Mean hospital stay was one day in group A, and two days in group B. ConclusionLaparoscopic appendectomy is safe and effective, less postoperative pain, early return to normal work and better cosmetic scar than open appendectomy.