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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2013 February;26(1):1-4
The comparison of the outcomes of early and late postoperative complications of open appendectomy and laparoscopic appendectomy
Yetisir F. 1, Salman A. E. 2, Osmanoglu G. 3, Çiftçi B. 1, Kiliç M. 1
1 Etlik Research and Trainning Hospital, General Surgery, Turkey;
2 Etlik Resarch and Trainning Hospital, Anesthesiology, Turkey;
3 TOBB Etu Hospital, General Surgery,Turkey
Aim: The aim of the present study is to compare postoperative early and late outcomes between patients undergoing open appendectomy and those undergoing laparoscopic appendectomy.
Methods: 162 patents who underwent appendectomy between Januaray 2009- February 2011 with laparoscopic and open methods were examined retrospectively. Group I: Open appendectomy (N.=73) patients, group II: Laparoscopic appendectomy (N.=89) patients. Demographic data of the patients, ASA groups, Alvarado scores, duration of operation and hospitalisation, early and late postoperative complications were recorded. Patients were questioned regarding chronic pain and patient statisfaction on 24th month postoperatively.
Results: There was no difference between groups with regard to demographic data, ASA groups, Alvarado scores, and rates of complicated appendicitis. The duration of operation was significantly shorter in group I than in Group II (P<0.007) Wound infection occurred more frequently in Group I although the difference was not significant. In complicated cases, postoperative bowel movements returned to their normal functions later in Group II. Chronic pain was seen at a higher rate in Group I. Even though patient satisfaction was similar in two groups, satisfaction with cosmetic appearance was higher in group II (P<0.007)
Conclusion: Although laparoscopic appendectomy can be performed safely in complicated and uncomplicated cases, it should be born in mind that there may be delay in the return of intestinal functions to normal in complicated cases. In appendectomies, the choice of operation technique should be guided by the experience of the surgeon and clinical presentation of the case.