Abstract
Acute appendicitis is commonly an emergency abdominal surgery. Laparoscopic appendectomies are ideal for simple appendicitis. Complication rates were equivalent in both open appendectomy and laproscopic appendectomy. Mortality rates for laparoscopic appendectomy were 1/5 of open appendectomy rates among patients older than 65. The main objective of the present retrospective study was to compare length of hospital stay, in-hospital complications, operation time, and usage of antibiotics between laparoscopic (LA) and open appendectomy (OA). Clinical and laboratory information was obtained by reviewing patients’ medical records, including age, gender, white blood count (WBC), random blood sugar (RBS), operating time, duration of hospital stay, complications as well as usage of antibiotics. Standard muscle-splitting approach in the right iliac fossa procedure for OA was followed by the surgeons in that the appendix was removed and stump was ligated. LA was performed by three-trocar technique (Karl Storz, Germany), the mesoappendix was controlled with laparoscopic bipolar cautery (Karl Storz, Germany), and the appendix base was tied with a singe endoloop (Covidien, USA). The appendix was removed through the left iliac fossa port or the umbilical port. High incidence of appendicitis were observed in the age group of 30 - 40 years in both OA and LA groups, duration of hospitalization between OA and LA groups (5.66 + 1.78 vs 7.98 + 2.55), incidence of complications in the LA group was lower than that in the OA group. This retrospective patient chart review showed that laparoscopic appendectomy is a safe and effective procedure as compared to open appendectomy.
