Is Laparoscopic Appendectomy Superior to Open Appendectomy? | ||||
| The Medical Journal of Cairo University | ||||
| Article 31, Volume 88, September, September 2020, Page 1707-1713 PDF (235.03 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2020.116377 | ||||
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| Authors | ||||
| MOHAMED M. AHMED SAKRAN, M.Sc.; AMER H.E. BARRAWY, M.D.; HAMED A. ABDEL HAMEED ELBADWY, M.D. | ||||
| The Department of General Surgery, Faculty of Medicine, Al-Azhar University | ||||
| Abstract | ||||
| Abstract Background: The most common emergency for surgery in the population is acute appendicitis. Though laparoscopic appendectomy is widely performed today, the advantages of laparoscopic versus open appendectomy remain under contro-versy. Aim of Study: To determine whether Laparoscopic Ap-pendectomy (LA) is better than thetraditional Open Appen-dectomy (OA). Patients and Methods: It is a prospective study, involving 150 patients with acute appendicitis. All patients undertook abdominoal and pelvic ultrasonography, to exclude any con-comitant gynecological finding and other cause for right iliac fossa pain. The patients were admitted to in Al-Zahraa University Hospital and Kobry El-Koba Military Hospital during the period from November 2017 to November 2019. Operational time, post-operative pain, first bowel movement, hospital stay, early work return and post-operative complications were compared in patients with open versus laparoscopic appen-dectomy. Results: OA and LA were performed in 150 patients (75 patients for each procedure). The laparoscopic technique gave less length of hospital stay (p=0.025), better in operative time, short hospital stay, low visual pain analogue range, first bowel motion recorded and early return to normal activity (p < 0.01), less intraoperative and post-operative complications 6.7% of all patients had complications post-operatively all in open group. Conclusion: The advantage of laparoscopic appendectomy is decreased pain following surgery, a short hospitalization, and an early return to work. Laparoscopic appendectomy should be recommended for acute appendicitis as an effective and safe procedure. | ||||
| Keywords | ||||
| Laparoscopic Appendectomy; Appendectomy | ||||
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