Short Term Outcomes of Laparoscopic Versus Open Appendicectomy in Patients with Acute Appendicitis

Community Based Medical Journal Pub Date : 2023-09-02 DOI:10.3329/cbmj.v12i2.68359

Monika Parvin, Dewan Ali Hassan Chowdhury, Mohammad Ashik Anwar Bahar

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Abstract

A prospective, observational study was carried out in the Department of Surgery of Sylhet MAG Osmani Medical College, Bangladesh, from May 2019 to May 2020, to compare the short-term outcomes of laparoscopic versus open appendectomy for acute appendicitis. A total of 120 patients who were diagnosed with acute appendicitis and underwent surgery were included in this study. The selected patients underwent appendectomy either by laparoscopic or using open method under general anesthesia. The patients were divided into two groups – 60 patients underwent laparoscopic appendectomy as group-I and the other 60 patients underwent open appendectomy as group-II. The mean age was 26.25±7.83 years in group-I and 22.88±6.92 years in group-II. The difference was statistically significant (P<0.05). Male predominance was found: 40(66.67%) in group-I and 44(73.33%) in group-II. However, the difference was not statistically significant (P>0.05). The mean operating time was 65.05±8.76 min in group-I and 40.08±4.82 min in group-II. The mean time resumption of diet was 7.3±0.9 hours in group-I and 25.4±4.5 hours in group-II. The mean postoperative pain was 1.32±0.47 in group-I and 3.27±0.69 in group-II. 1(1.7%) patient had wound infection in group-II; however, no patients in group-I developed wound infection. The mean duration of hospital stay was 2.20±0.40 days in group-I and 3.62±0.98 days in group-II. The majority (81.7%) of the patients had the best quality of the scar in group-I and 48(80%) in group-II. The mean quality of the scar was 4.82±0.39 in group-I and 2.90±0.44 in group-II. All those differences except wound infection were statistically significant (P<0.001). This study demonstrated that laparoscopic appendectomy is as safe and effective as the open procedure. The overall benefit of laparoscopic appendectomy is more, as it results in less postoperative pain, shorter duration of hospital stays, better wound healing, as well as cosmetic outcome as compared to open procedure. CBMJ 2023 July: Vol. 12 No. 02 P: 157-163

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急性阑尾炎患者腹腔镜阑尾切除术与开放式阑尾切除术的短期疗效比较

2019年5月至2020年5月，在孟加拉国Sylhet MAG Osmani医学院外科开展了一项前瞻性观察性研究，比较腹腔镜阑尾切除术与开放式阑尾切除术治疗急性阑尾炎的短期疗效。本研究共纳入120例诊断为急性阑尾炎并接受手术治疗的患者。选择的患者在全麻下行腹腔镜或开放式阑尾切除术。将患者分为两组，60例患者行腹腔镜阑尾切除术为i组，60例患者行开放式阑尾切除术为ii组。ⅰ组平均年龄26.25±7.83岁，ⅱ组平均年龄22.88±6.92岁。差异有统计学意义(P0.05)。ⅰ组平均手术时间65.05±8.76 min，ⅱ组平均手术时间40.08±4.82 min。ⅰ组平均恢复饮食时间为7.3±0.9 h，ⅱ组平均恢复饮食时间为25.4±4.5 h。术后平均疼痛i组为1.32±0.47,ii组为3.27±0.69。ii组有1例(1.7%)患者出现伤口感染;i组患者无伤口感染。ⅰ组平均住院时间为2.20±0.40 d，ⅱ组平均住院时间为3.62±0.98 d。i组瘢痕质量最好的患者占多数(81.7%)，ii组瘢痕质量最好的患者占48(80%)。组瘢痕质量平均为4.82±0.39，组瘢痕质量平均为2.90±0.44。除伤口感染外，其他差异均有统计学意义(P<0.001)。本研究表明腹腔镜阑尾切除术与开放手术一样安全有效。与开放式手术相比，腹腔镜阑尾切除术的总体好处更多，因为它术后疼痛更少，住院时间更短，伤口愈合更好，而且美容效果更好。中华医学杂志，2023,Vol. 12 No. 02 P: 157-163

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Community Based Medical Journal

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