COMPARATIVE STUDY BETWEEN LAPAROSCOPIC VERSUS APPENDECTOMY IN OBESE PATIENTS: A COHORT STUDY.

Anupam  Ranjan; Sweta  Rani; Sheto  Sumi; Shri Krishna  Ranjan

doi:10.51168/sjhrafrica.v5i6.1259

Authors

Anupam Ranjan Senior Resident, Department of General Surgery, ANMMCH, Gaya, Bihar, India
Sweta Rani Assistant Professor, Department of Obs & Gynae, ANMMCH, Gaya, Bihar, India
Sheto Sumi Junior Resident, Department of General Surgery, ANMMCH, Gaya, Bihar, India
Shri Krishna Ranjan Associate Professor, Department of General Surgery, ANMMCH, Gaya, Bihar, India

DOI:

https://doi.org/10.51168/sjhrafrica.v5i6.1259

Keywords:

Laparoscopic Appendectomy, Open Appendectomy, Obese Patients, Surgical Outcomes, Postoperative Complications

Abstract

Background

The two main surgical therapies for appendicitis are laparoscopic appendectomy (LA) and open appendectomy (OA). Appendicitis is a major surgical emergency. The study aimed to evaluate the outcomes of laparoscopic appendectomy versus open appendectomy in obese patients.

Methods

Ninety patients with appendicitis with a BMI of 30 or more were randomised into two groups: the OA group, which included 45 individuals, and the LA group, which included 45 patients. SPSS Statistics Version 23.0 was used to gather and analyse data on demographics, postoperative complications, length of hospital stay, surgical time, pain levels, and recovery durations.

Results

The socio-demographic characteristics of the patients were similar across both groups, with an average age of 35.6 ± 10.2 years in the LA group and 36.1 ± 11.3 years in the OA group. In comparison to the OA group, the LA group experienced considerably shorter hospital stays (2.1 ± 0.7 days) and operative times (45.3 ± 10.1 minutes vs. 60.4 ± 12.3 minutes, p < 0.001). The LA group experienced less postoperative complications (11.1% vs. 26.7%, p = 0.04). The LA group also had reduced pain levels 24 hours after surgery (3.5 ± 1.4 vs. 5.6 ± 1.7, p < 0.001). Readmission rates and delayed complications were among the long-term outcomes that did not significantly differ across the groups.

Conclusion

When compared to OA, LA is linked to shorter operating and recovery periods, less pain during surgery, and fewer problems in obese patients. These results validate LA as the recommended surgical treatment for obesity-related appendicitis.

Recommendations

Due to its benefits in terms of efficiency and safety, LA ought to be the norm for treating appendicitis in obese patients. It is advised to perform more studies with larger sample sizes and longer follow-up times in order to validate these results and evaluate long-term effects.