Laparoscopic Versus Open Appendectomy, A Comparative Study

Abstract

OBJECTIVE: To compare laparoscopic and open appendectomy in terms of complication rate. METHODOLOGY: This was a multicentric, retrospective study conducted at Dow University Karachi and Bantva Memon Hospital Karachi from January 2014 to December 2016. Patients with open and laparoscopic appendectomy were compared in terms of operative times, complication, hospital stay and conversion rate. RESULTS: Total 90 patients were included in this study with 42 in laparoscopic group while 48 in open group. Laparoscopic appendectomy took longer to perform (p=0.028) & patients of open appendectomy showed longer hospital stay (p=0.013) with comparable complication rate in both procedures. CONCLUSION: Laparoscopic and open appendectomy both can be performed routinely for acute appendicitis without the additional risks of complications.

Keywords

• appendectomy
• open vs. laparoscopy
• outcome