Laparoscopic versus open appendectomy: a prospective comparative study

Introduction: Appendectomy is one of the most commonly performed surgeries usually done by conventional open method. The role of laparoscopic appendectomy is still not well defined in the literature and although widely practiced it still hasn’t gained popularity in Nepal. The aim of this study was...

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Autores principales:	Sumita Pradhan, Yagya Ratna Shakya, Hemant Batajoo, Balram Malla, Hem Nath Joshi, Lok Bikram Thapa, Ram Kantha Makaju
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2017
Materias:	Acute appendicitis Laparoscopic appendectomy Open appendectomy Surgery RD1-811
Acceso en línea:	https://doaj.org/article/42c6ba0a07984708a6f282e9bd45590c
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spelling	oai:doaj.org-article:42c6ba0a07984708a6f282e9bd45590c2021-12-05T19:16:05ZLaparoscopic versus open appendectomy: a prospective comparative study10.3126/jssn.v18i2.185721815-39842392-4772https://doaj.org/article/42c6ba0a07984708a6f282e9bd45590c2017-11-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/18572https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Appendectomy is one of the most commonly performed surgeries usually done by conventional open method. The role of laparoscopic appendectomy is still not well defined in the literature and although widely practiced it still hasn’t gained popularity in Nepal. The aim of this study was to compare the outcomes of laparoscopic versus open appendectomy. Methods: A prospective study was carried out, between August 2013 and September 2014, involving 216 patients (93 males and 123 females) with a diagnosis of acute appendicitis based on Alvarado score of seven and above. Patients were allocated into two groups where every alternate patient was operated either open or laparoscopically. The groups were compared in terms of operative time, post operative pain, post operative complications and length of hospital stay. Results: Open appendectomy (OA) comprised of 106 patients and Laparoscopic appendectomy (LA) comprised of 110 patients. Patients’ characteristics were similar in both groups. The mean operative time in LA was 42.82±10.84 minutes and in OA 37.99±9.81 minutes (p<0.86). Conversion was done in 2.8% of laparoscopic cases. Mean comparison of postoperative pain by visual analogue scale was low in LA compared to OA (P<0.05). Mean post operative stay (3.19±1.26 vs 2.75±0.7, p<0.01) and surgical site infection was recorded in 9 patients (8.5%) in OA group and 3 (2.5%) in LA group, with p value of 0.06. Conclusions: Laparoscopic appendectomy is feasible and safe as open procedure with less post operative pain and shorter hospital stay. Journal of Society of Surgeons of Nepal, 2015; 18 (2), page: 29-32 Sumita PradhanYagya Ratna ShakyaHemant BatajooBalram MallaHem Nath JoshiLok Bikram ThapaRam Kantha MakajuSociety of Surgeons of NepalarticleAcute appendicitisLaparoscopic appendectomyOpen appendectomySurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 2 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Acute appendicitis Laparoscopic appendectomy Open appendectomy Surgery RD1-811
spellingShingle	Acute appendicitis Laparoscopic appendectomy Open appendectomy Surgery RD1-811 Sumita Pradhan Yagya Ratna Shakya Hemant Batajoo Balram Malla Hem Nath Joshi Lok Bikram Thapa Ram Kantha Makaju Laparoscopic versus open appendectomy: a prospective comparative study
description	Introduction: Appendectomy is one of the most commonly performed surgeries usually done by conventional open method. The role of laparoscopic appendectomy is still not well defined in the literature and although widely practiced it still hasn’t gained popularity in Nepal. The aim of this study was to compare the outcomes of laparoscopic versus open appendectomy. Methods: A prospective study was carried out, between August 2013 and September 2014, involving 216 patients (93 males and 123 females) with a diagnosis of acute appendicitis based on Alvarado score of seven and above. Patients were allocated into two groups where every alternate patient was operated either open or laparoscopically. The groups were compared in terms of operative time, post operative pain, post operative complications and length of hospital stay. Results: Open appendectomy (OA) comprised of 106 patients and Laparoscopic appendectomy (LA) comprised of 110 patients. Patients’ characteristics were similar in both groups. The mean operative time in LA was 42.82±10.84 minutes and in OA 37.99±9.81 minutes (p<0.86). Conversion was done in 2.8% of laparoscopic cases. Mean comparison of postoperative pain by visual analogue scale was low in LA compared to OA (P<0.05). Mean post operative stay (3.19±1.26 vs 2.75±0.7, p<0.01) and surgical site infection was recorded in 9 patients (8.5%) in OA group and 3 (2.5%) in LA group, with p value of 0.06. Conclusions: Laparoscopic appendectomy is feasible and safe as open procedure with less post operative pain and shorter hospital stay. Journal of Society of Surgeons of Nepal, 2015; 18 (2), page: 29-32
format	article
author	Sumita Pradhan Yagya Ratna Shakya Hemant Batajoo Balram Malla Hem Nath Joshi Lok Bikram Thapa Ram Kantha Makaju
author_facet	Sumita Pradhan Yagya Ratna Shakya Hemant Batajoo Balram Malla Hem Nath Joshi Lok Bikram Thapa Ram Kantha Makaju
author_sort	Sumita Pradhan
title	Laparoscopic versus open appendectomy: a prospective comparative study
title_short	Laparoscopic versus open appendectomy: a prospective comparative study
title_full	Laparoscopic versus open appendectomy: a prospective comparative study
title_fullStr	Laparoscopic versus open appendectomy: a prospective comparative study
title_full_unstemmed	Laparoscopic versus open appendectomy: a prospective comparative study
title_sort	laparoscopic versus open appendectomy: a prospective comparative study
publisher	Society of Surgeons of Nepal
publishDate	2017
url	https://doaj.org/article/42c6ba0a07984708a6f282e9bd45590c
work_keys_str_mv	AT sumitapradhan laparoscopicversusopenappendectomyaprospectivecomparativestudy AT yagyaratnashakya laparoscopicversusopenappendectomyaprospectivecomparativestudy AT hemantbatajoo laparoscopicversusopenappendectomyaprospectivecomparativestudy AT balrammalla laparoscopicversusopenappendectomyaprospectivecomparativestudy AT hemnathjoshi laparoscopicversusopenappendectomyaprospectivecomparativestudy AT lokbikramthapa laparoscopicversusopenappendectomyaprospectivecomparativestudy AT ramkanthamakaju laparoscopicversusopenappendectomyaprospectivecomparativestudy
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Laparoscopic versus open appendectomy: a prospective comparative study

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