Comparison of Early Outcomes of Laparoscopic and Open Appendectomy

Introduction: There are numerous studies comparing the outcomes of open appendectomy (OA) and laparoscopic appendectomy (LA). However, the debate over which method is superior is still ongoing. This study aims to compare the early outcomes and complications of laparoscopic and open appendectomy to determine the advantages and disadvantages of each method. Materials ve Methods: In this study, the medical records of patients who underwent surgery for acute appendicitis between January 1, 2020, and January 1, 2025, were retrospectively reviewed. Patients were divided into two groups based on whether they underwent laparoscopic or open appendectomy, and comparisons were made regarding age, gender, and length of hospital stay. Postoperative complications, including pain, atelectasis, surgical site infection, bleeding, stump leakage, and intra-abdominal abscess formation, were identified and compared between the groups. Results: A total of 179 patients were included in the study, with 64.2% being male and 35.8% female. There was no significant difference between the groups in terms of atelectasis, surgical site infection, or intra-abdominal abscess formation (p>0.05). However, postoperative pain and length of hospital stay were significantly shorter in the laparoscopic group (p<0.05). Conclusion: The complication rates following laparoscopic and open appendectomy are similar. However, postoperative pain and hospital stay are shorter in patients undergoing laparoscopic appendectomy. Laparoscopic appendectomy is an effective and reliable method for treating acute appendicitis.