A COMPARATIVE PROSPECTIVE STUDY LAPAROSCOPIC VERSUS OPEN APPENDICECTOMY IN ADULTS.

Authors

  • Rajani Ranjan Assistant Professor, Department of Surgery, Lord Buddha Koshi Medical College & Hospital, Baijnathpur, Saharsa, Bihar, India

DOI:

https://doi.org/10.51168/sjhrafrica.v5i12.1487

Keywords:

Appendicitis, Open appendicectomy, Laparoscopic appendicectomy, Complications

Abstract

Background

A common surgical emergency that typically necessitates an appendicectomy is appendicitis. The decision between laparoscopic and open appendicectomy has generated a lot of discussion, as each procedure has unique benefits and drawbacks. Although laparoscopic surgery is frequently chosen due to its minimally invasive nature, questions still surround its wider applicability, especially in situations of complex appendicitis. Based on several intraoperative and postoperative factors, this study sought to compare laparoscopic versus open appendicectomies.

 Materials and Methods

Two groups of fifty patients undergoing interval appendicectomies were randomly assigned. Twenty-five patients in group A had laparoscopic appendicectomies, while twenty-five patients in group B had open appendicectomies.

 Results

It was simpler to evaluate the intraoperative findings and confirm the diagnosis in group A patients. Furthermore, patients in group A experienced less discomfort, fewer post-operative problems, and a shorter hospital stay.

 Conclusion

Laparoscopic appendicectomy is the preferred method for appendicectomy due to its superior results.

 Recommendation

The authors recommend LA as a routine surgical approach for acute appendicitis.

References

Williams N, Bulstrode C, O'Connell P. Bailey & Love's short practice of surgery. 26th ed. New York: CRC Press; 2013;1199-1214.

D'Souza N, Nugent K. Appendicitis. BMJ Clin Evid. 2014;408.

Schellekens DH, Hulsewe KW, van Acker BA, et al.: Evaluation of the diagnostic accuracy of plasma markers for early diagnosis in patients suspected of acute appendicitis. Acad Emerg Med.2013;20:703-710. https://doi.org/10.1111/acem.12160 PMid:23859584

Smink DS, Finkelstein JA, Garcia Peña BM, Shannon MW, Taylor GA, Fishman SJ: Diagnosis of acute appendicitis in children using a clinical practice guideline. J Pediatr Surg. 2004; 39:458-463.https://doi.org/10.1016/j.jpedsurg.2003.11.015 PMid:15017570

Semm K. Endoscopic appendectomy. Endoscopy. 1983;15(2):59-64.https://doi.org/10.1055/s-2007-1021466

PMid:6221925

Sauerland S, Jaschinski T, Neugebauer EA. Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev. 2010;(10) https://doi.org/10.1002/14651858.CD001546.pub3 PMid:20927725

Guller U, Hervey S, Purves H, Muhlbaier LH, Peterson ED, Eubanks S, et al. Laparoscopic versus open appendectomy: outcomes comparison based on a large administrative database. Ann Surg. 2004;239(1):43-52.

https://doi.org/10.1097/01.sla.0000103071.35986.c1 PMid:14685099 PMCid:PMC1356191

Bhangu A, Søreide K, Di Saverio S, Assarsson JH, Drake FT. Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. Lancet. 2015;386(10000):1278- 87.https://doi.org/10.1016/S0140-6736(15)00275-5 PMid:26460662

Ingraham AM, Cohen ME, Bilimoria KY, Pritts TA, Ko CY, Esposito TJ, et al. Comparison of outcomes after laparoscopic versus open appendectomy for acute appendicitis at 222 ACS NSQIP hospitals. Surgery. 2010;148 (4):625-35. https://doi.org/10.1016/j.surg.2010.07.025 PMid:20797745

Jaschinski T, Mosch C, Eikermann M, Neugebauer EA, Sauerland S. Laparoscopic versus open appendectomy in patients with suspected appendicitis: a systematic review of meta-analyses of randomized controlled trials. BMC Gastroenterol. 2015;15:48. https://doi.org/10.1186/s12876-015-0277-3 PMid:25884671 PMCid: PMC4399217

Majeed AW, Troy G, Nicholl JP, Smythe A, Reed MW, Stoddard CJ, et al. Randomized, prospective, single-blind comparison of laparoscopic versus small-incision cholecystectomy. Lancet. 1996; 347(9007): 989-94.https://doi.org/10.1016/S0140-6736(96)90143-9 PMid:8606612

Masoomi H, Nguyen NT, Dolich MO, Mills SD, Carmichael JC, Stamos MJ. Laparoscopic versus open appendectomy in obese patients: an NSQIP database analysis. Am Surg. 2011;77 (10):1337-41.

https://doi.org/10.1177/000313481107701023 PMid:22127092

Meljnikov I, Radojci'c B, Grebeldinger S, Radojci'c N. [History of surgical treatment of appendicitis]. Med Pregl. 2009 Sep-Oct;62(9-10):489-92. Serbian. PMID: 20391748.

Lintula H, Kokki H, Vanamo K. Single-blind randomized clinical trial of laparoscopic versus open appendicectomy in children. Br J Surg. 2001 Apr;88(4):510-4. doi: 10.1046/j.1365-2168.2001.01723.x. PMID: 11298617.

https://doi.org/10.1046/j.1365-2168.2001.01723.x PMid:11298617

Ortega AE, Hunter JG, Peters JH, Swanstrom LL, Schirmer B. A prospective, randomized comparison of laparoscopic appendectomy with open appendectomy. Laparoscopic Appendectomy Study Group. Am J Surg. 1995 Feb;169(2):208- 12; discussion 212-3. doi: 10.1016/s0002-9610(99)80138-x. PMID: 7840381.

https://doi.org/10.1016/S0002-9610(99)80138-X

Laustsen JF, Bjerring OS, Johannessen Ø, Qvist N. Laparoscopic appendectomy during pregnancy is safe for both the mother and the fetus. Dan Med J. 2016 Aug;63(8):A5259. PMID: 27477796.

Walsh CA, Tang T, Walsh SR. Laparoscopic versus open appendicectomy in pregnancy: a systematic review. Int J Surg. 2008 Aug;6(4):339-44. doi: 10.1016/j.ijsu.2008.01.006. Epub 2008 Feb 1. PMID: 18342590.

https://doi.org/10.1016/j.ijsu.2008.01.006

Fingerhut A, Millat B, Borrie F. Laparoscopic versus open appendectomy: time to decide. World J Surg. 1999 Aug;23(8):835-45. doi: 10.1007/s002689900587. PMID: 10415210. https://doi.org/10.1007/s002689900587

Pedersen AG, Petersen OB, Wara P, Rønning H, Qvist N, Laurberg S. Randomized clinical trial of laparoscopic versus open appendicectomy. Br J Surg. 2001 Feb;88(2):200-5. doi: 10.1046/j.1365-2168.2001.01652.x. PMID: 11167866. https://doi.org/10.1046/j.1365-2168.2001.01652.x

Loh A, Taylor RS. Laparoscopic appendicectomy. Br J Surg. 1992 Apr;79(4):289-90. doi: 10.1002/bjs.1800790402. PMID: 1533558. https://doi.org/10.1002/bjs.1800790402

Schreiber JH. Early experience with laparoscopic appendectomy in women. Surg Endosc. 1987;1(4):211-6. doi: 10.1007/BF00591150. PMID: 2970683. https://doi.org/10.1007/BF00591150

Bennett J, Boddy A, Rhodes M. Choice of approach for appendicectomy: a meta-analysis of open versus laparoscopic appendicectomy. Surg Laparosc Endosc Percutan Tech. 2007 Aug;17(4):245-55. doi: 10.1097/SLE.0b013e318058a117. PMID: 17710043. https://doi.org/10.1097/SLE.0b013e318058a117

Li X, Zhang J, Sang L, Zhang W, Chu Z, Li X, Liu Y. Laparoscopic versus conventional appendectomy-a meta-analysis of randomized controlled trials. BMC Gastroenterol. 2010 Nov 3;10:129. doi: 10.1186/1471-230X-10-129. PMID: 21047410; PMCID: PMC2988072.https://doi.org/10.1186/1471-230X-10-129

Gupta R, Sample C, Bamehriz F, Birch DW. Infectious complications following laparoscopic appendectomy. Can J Surg. 2006 Dec;49(6):397-400. PMID: 17234067; PMCID: PMC3207540.

Cariati A, Brignole E, Tonelli E, Filippi M, Guasone F, De Negri A, Novello L, Risso C, Noceti A, Giberto M, Giua R. Appendicectomia laparoscopica o a cielo aperto. Revisione critica della letteratura ed esperienza personale [Laparoscopic or open appendectomy. Critical review of the literature and personal experience]. G Chir. 2001 Oct;22(10):353-7. Italian. PMID: 11816948.

Olmi S, Magnone S, Bertolini A, Croce E. Laparoscopic versus open appendectomy in acute appendicitis: a randomized prospective study. Surg Endosc. 2005 Sep;19(9):1193-5. doi: 10.1007/s00464-004-2165-8. Epub 2005 Jul 28. PMID: 16132334. https://doi.org/10.1007/s00464-004-2165-8

Hansen JB, Smithers BM, Schache D, Wall DR, Miller BJ, Menzies BL. Laparoscopic versus open appendectomy: prospective randomized trial. World J Surg. 1996 Jan;20(1):17-20; discussion 21. doi: 10.1007/s002689900003. PMID:8588406.https://doi.org/10.1007/s002689900003

Minné L, Varner D, Burnell A, Ratzer E, Clark J, Haun W. Laparoscopic vs open appendectomy. Prospective randomized study of outcomes. Arch Surg. 1997 Jul;132(7):708-11; discussion712.doi:10.1001/archsurg.1997.01430310022003.PMID:9230853.https://doi.org/10.1001/archsurg.1997.01430310022003

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Published

2024-12-31

How to Cite

Ranjan, R. . (2024). A COMPARATIVE PROSPECTIVE STUDY LAPAROSCOPIC VERSUS OPEN APPENDICECTOMY IN ADULTS. Student’s Journal of Health Research Africa, 5(12), 7. https://doi.org/10.51168/sjhrafrica.v5i12.1487

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Section

Section of Obstetrics and Gynecology Research