Comparative Study between Laparoscopic Versus Open Appendicectomy

Background: Appendicitis is a common condition requiring surgical intervention, with laparoscopic appendicectomy becoming an increasingly preferred method. The present study compares clinical outcomes between laparoscopic and open appendicectomy in patients with acute appendicitis, focusing on surgery duration, hospital stay, and surgical site infections. Method: A prospective, randomized study was conducted from September 2022 to February 2024, involving 100 patients diagnosed with acute appendicitis. Patients were randomized into two groups: Group - O (open appendicectomy) and Group - L (laparoscopic appendicectomy). Surgical outcomes, including surgery duration, hospital stay, and rates of surgical site infections, were compared. Results: The study found a significant reduction in surgery duration (Group - O: 27.22 ? 1.87 minutes, Group - L: 17.60 ? 1.47 minutes, p = 0.001) and hospital stay (Group - O: 6.94 ? 2.78 days, Group - L: 3.50 ? 1.64 days, p = 0.001) in the laparoscopic group. The rate of surgical site infections was comparable between both groups (Group - O: 10%, Group - L: 6%, p = 0.737). Conclusion: Laparoscopic appendicectomy offers significant advantages over open appendicectomy, including shorter surgery times and faster recovery with reduced hospital stay. Although the surgical site infection rates were similar, the laparoscopic method showed a slight benefit in terms of lower infection rates. These findings support laparoscopic appendicectomy as the preferred approach for most cases of acute appendicitis, with further research needed to confirm these results in larger, multicenter studies.