Routine Laparoscopic is Better Than Open Appendectomy: A Reason

Aim: In this study we compare the outcomes of routine laparoscopy and laparoscopic appendectomy in patients with suspected appendicitis. Method: Patients managed with routine laparoscopy and LA for suspected acute appendicitis. All preoperative and intraoperative findings records were Maintained. The clinical outcomes were compared with those of patients undergoing OA in the preceding in one year. Result: During the LA study period, 100 patients (47 men) with the median age of 32 years (range, 17 to 78) presented with clinical features of acute appendicitis. During the OA period, 120 patients (55 men) with the median age of 42 (range, 19 to 79) years were operated on. The median durations of surgery in Group A and Group B were 80 minutes (range, 40 to 195) and 60 minutes (range, 25 to 260), respectively (P<0.005). Postoperative complication rates were comparable between the 2 groups (13.4% in Group A versus 15.8% in Group B). The median hospital stay for patients in Group A and Group B were 2.0 days (range, 1 to 47) and 4.0 days (range, 1 to 47), respectively (P=0.037). Conclusions: We conclude that routine laparoscopy and LA for suspected acute appendicitis is safe with shorter hospital stay. Other intra-abdominal pathologies can also be diagnosed more accurately with the laparoscopic approach.