Open versus laparoscopic appendicectomy in acute appendicitis: results of a District General Hospital

Zosimas, Dimitrios; Lykoudis, Panagis M.; Pilavas, A.; Burke, Josh; Leung, Phoebe; Strano, Giuseppe; Shatkar, V

doi:10.17159/2078-5151/2018/v56n2a2392

Cited by 6 publications

(3 citation statements)

References 20 publications

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“…While in the study of Mitsugi Shimoda [17] reported male to female ratio are 1:1.6 in OA group and 1:1.4 in LA group. Whike in an other study D Zosimas [18] conducted in 2018 and reported male to female ratio is 1:1.06 which is almost same as in present study.…”

Section: Ao: Open Appendicectomy Group La: Laparoscopic Appendicectom...supporting

confidence: 88%

Comparison of Outcomes of Laparoscopic and Open Appendectomy in Management of Appendicitis

Mirza¹,

Yousfani²,

Brohi

et al. 2022

JPRI

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Objective: To compare the outcomes in relations to postoperative pain and complications, and hospital stay of laparoscopic versus open appendectomy in management of appendicitis. Study Design: Cross sectional study. Place and Duration of Study: This study was conducted in department of surgery Unit III of PUMHS Nawabshah and Suleman Roshan Medical College Tando Adam, Sindh Pakistan, from January 2020 to December 2021. Methodology: This study consisted of 136 consecutive cases of either gender, aged between 13 to 60 years, that were enrolled during study period and matching with the inclusion and exclusion criteria. After the permission of ethical committee, a detailed history was taken from all the patients with special regard to the pain in RIF, Pain starting around umbilicus, nausea, vomiting, fever and altered bowel habits. All the cases were randomly divided into Group A comprising of 68 cases which were operated by conventional open appendectomy (OA) and other group B also comprising of 68 cases which were operated by laparoscopically appendectomy (LA). All the clinical and demographic data was collected on a proforma designed for the study, and analyzed by using Statistical Package for Social Science (SPSS) software version 22. Effect modifier like age, gender was controlled by stratification and chi-square test was applied to see the effect of these on both open versus laparoscopic appendectomy outcome variable. P <0.05 was taken as significant. Results: In open appendectomy group male:female ratio of 1.2:1 and in laparoscopically appendectomy group male:female ratio of 1.5:1. The mean age was 31.28±4.30 years for OA group and 35.47±3.23 years for LA group (p 0.02).Alvarado score was showed <4 Score 0% in both groups, where as 4-7 Score in 9(13.23%) patients of OA group and 8(11.76%) patients of LA group, and > 7 Score was seen in 59(86.76%) patients of OA group and 60(83.23%) patients of LA group. The mean time in OA group was 45.21±12.1 minutes and LA group was 43.44±9.4 minutes (p 0.026).Mild pain was felt in 7(10.29%) patients of OA group and 39(57.35%) patients of LA group, Moderate pain was seen in 31(45.58%) patients of OA group and 26(38.23%) patients of LA group, severe pain was described by 30 (44.11%) patients in OA group and 3(4.41%) patients in LA group (p 0.005).The common complications seen in this study Ileus was 29(42.64%) patients in OA and 18(26.47%) patients in LA group) followed by wound infection 10(14.70%) patients in OA and 1(1.47%) patients in LA group. The duration of hospital stay was longer about 3-4 days in 58(85.29%) of OA patients as compared to LA cases where majority 65(95.58%) were discharged within 2 to 3 days. Conclusion: We conclude that laparoscopic appendectomy procedure has a low rate of complications, earlier mobilization, implies a shorter hospital stay and offers the patient a more comfortable postoperative period than open appendectomy procedure.

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Section: Ao: Open Appendicectomy Group La: Laparoscopic Appendicectom...supporting

confidence: 88%

Comparison of Outcomes of Laparoscopic and Open Appendectomy in Management of Appendicitis

Mirza¹,

Yousfani²,

Brohi

et al. 2022

JPRI

View full text Add to dashboard Cite

show abstract

“…In contrast, in another similar retrospective study conducted by Fujishiro et al (28) on 4,489 pediatric patients underwent appendectomy, 70.5% of them were laparoscopic surgery, they found that the incidence of postoperative complications and length of hospitalization of patients with LA are similar to those of open appendectomy for acute appendicitis (28) . In 2018, Zosimas and colleagues reviewed the electronic records of 300 patients underwent either OA (166) or LA (134) in a one-year retrospective period, they concluded that although the LA approach surgery is safe and effective, but the choice between open traditional appendectomy and laparoscopic surgery should be tailored according to the clinical scenarios and the preference of the surgeons (29) .…”

Section: Discussionmentioning

confidence: 99%

Comparative Study between Open and Laparoscopic Appendectomy in Acute Appendicitis

Habash

Thabet²,

Abood³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Appendectomy is a widespread emergency surgery, and to date the appendectomy is still done through two approaches: open (OA) and laparoscopic (LA) and it is not known which is better than the other.Objective: This study aimed to compare OA and LA surgical approaches in patients with acute appendicitis. Patients and methods: Data were obtained from eighty patients underwent appendectomy at Baquba Teaching Hospital between September 2021 and May 2022. Forty patients in (OA) group underwent open surgery, as well as forty other patients in (LA) group underwent laparoscopic surgeries. The two groups were compared according to the operation time, hospital stay, wound infection, and return to normal daily activity. Results: LA approach was associated with shorter (1.4±0.6 days) hospitalization than OA (2.7±2.5 days). Also, the operative time of the laparoscopic approach was clearly less (30±3.2 min) compared to the open approach (35±5.2 min). There was no postoperative infection in the LA patients, and the laparoscopic patients returned to their daily activities faster than the open surgery group. Conclusion: Laparoscopic surgery is a safer approach to appendectomy, especially if it is performed by skilled specialist surgeons.

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“…Prognosis of perforated appendicitis is closely related to incision infection, postoperative recurrence and complete surgical resection (16). Research shows that the incision infection rate of patients after laparoscopic intervention for appendicitis is significantly lower than that of open surgery (17). For example, in the studies by Zwintscher NP et al (18), laparoscopic appendectomy for children with perforated appendicitis has a lower incidence of postoperative complications and shorter length of stay.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of some cellular biomarker proteins, oxidative stress and clinical indices as results of laparoscopic appendectomy for perforated appendicitis in children

Liu

2020

Cell Mol Biol (Noisy-le-grand)

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Laparoscopic appendectomy for perforated appendicitis in children has the advantages of quick recovery, little influence of inflammatory and oxidative stress and low infection rate. Altogether 115 children with perforated appendicitis treated in our hospital from June 2018 to August 2019 were selected and divided into two groups according to different treatment methods. Laparoscopic appendectomy was used as the research group (RG) (67 cases) and open appendectomy (48 cases) as the control group (CG). The clinical indexes (operation time, intraoperative blood loss, ambulation time, incision length, postoperative exhaust time and length of stay) of the two groups were observed. The levels of C- reactive protein (CRP), procalcitonin (PCT), interleukin -6 (IL-6) and tumor necrosis factor-Î± (TNF-Î±) before and after treatment were detected by enzyme-linked immunosorbent assay (ELISA). The levels of oxidative stress factors (superoxide dismutase (SOD), malondialdehyde (MDA)) and the incidence of postoperative incision infection were observed in the two groups. A visual analogue scale (VAS) score was used to evaluate the postoperative pain in children. Logistic regression analysis was used to analyze the risk factors of postoperative incision infection in children. The improvement degree of clinical indicators in RG was significantly better than that in CG. The expression levels of CRP, PCT, IL-6 and TNF-Î± in RG were significantly lower than those in CG. The expression levels of SOD and MDA in RG were significantly better than those in CG. The postoperative incision infection rate in RG was significantly lower than that in CG. The postoperative VAS score in RG was significantly lower than that in CG. Logistic regression analysis results showed that the risk of incision infection was increased in children with operation time over 1h, incision length >3cm, high CRP, high PCT, high IL-6, high TNF-Î±, high SOD and low MDA. Laparoscopic appendectomy for perforated appendicitis in children can effectively reduce intraoperative hemorrhage, postoperative pain, and the damage to the body of children, and can also reduce oxidative stress and inflammatory reaction in children.

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Open versus laparoscopic appendicectomy in acute appendicitis: results of a District General Hospital

Cited by 6 publications

References 20 publications

Comparison of Outcomes of Laparoscopic and Open Appendectomy in Management of Appendicitis

Comparison of Outcomes of Laparoscopic and Open Appendectomy in Management of Appendicitis

Comparative Study between Open and Laparoscopic Appendectomy in Acute Appendicitis

Evaluation of some cellular biomarker proteins, oxidative stress and clinical indices as results of laparoscopic appendectomy for perforated appendicitis in children

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