Abstract

Aims and Objectives: Comparative study between laparoscopic appendicectomy and open appendicectomy in terms of safety and benefits with respect to duration of operation, post-operative pain, resumption of oral diet, duration of hospital stay, incidence of complications and cost.

Methods: Prospectively collected data from 120 consecutive patients between October 2014 and September 2016 with acute and recurrent appendicitis were studied. These comprised of 60 patients who underwent conventional appendicectomy and 60 patients treated laparoscopically. The two groups were compared with respect to duration of operation, post-operative pain, resumption of oral diet, duration of hospital stay, incidence of complications and cost.

Results: Most patients presented in second-third decade of life. Laparoscopic appendectomy was associated with a shorter hospital stay (3.22 Vs5.87 days, P=0.001),longer operating time (70.83±18.28 vs 52.00min, P<0.001),less Post operative pain scores (0.47 vs. 0.73; P < 0.001)at discharge, early resumption of normal diet. Post  operative complications  were  equal  in  both  groups. The  total  cost  of  hospital  stay  was not significantly higher in laparoscopic appendicectomy than open appendicectomy group (11944.78 ±12170.85 Vs 11149.90±1988.76 INR, p<0.619) respectively. There was no mortality in either group.

Conclusion: Overall, laparoscopic appendicectomy is better than open appendicectomy in selected patients with acute or recurrent appendicitis.

Keywords: Laparoscopic appendicectomy, open appendicectomy, conventional appendicectomy, Acute appendicitis.

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