A comparative Clinical Trial of Laparoscopic Appendectomy versus Open Appendectomy in uncomplicated Cases
Evaluating Outcomes in Laparoscopic and Open Appendectomy
DOI:
https://doi.org/10.69750/dmls.01.05.051Keywords:
Laparoscopic appendectomy, open appendectomy, acute appendicitis, postoperative pain, patient satisfaction.Abstract
Background: Appendicitis is one of the most frequent causes of acute abdominal pain and usually leads to the surgery called appendectomy. Various advantages can be associated with laparoscopic appendectomy but possible disadvantages include longer operative time and complications.
Objectives: The purpose of this research was to find out the differences between laparoscopic appendectomy (LA) and open appendectomy (OP) in patients with uncomplicated acute appendicitis focusing on operative time, length of hospital stay, postoperative pain, postoperative complication rates, and patient satisfaction.
Methods: The present study was a comparative randomized clinical trial performed in Farooq Teaching Hospital and Hameed Latif Teaching Hospital from January 2023 to January 2024. Two hundred patients with uncomplicated appendicitis were randomly chosen and divided into the laparoscopic appendectomy(n=100) and the open appendectomy(n=100). Primary outcomes were operative time, length of hospital stay, postoperative pain as assessed by the Visual Analog Scale, and complications. Secondary measures were time to resume normal activities, and patients’ satisfaction, measured on a Likert scale. Descriptive statistics, Student’s t-test and chi-square test were used for analysis and p≤0.05 was considered significant.
Results: Laparoscopic appendectomy took a relatively longer mean operative time (54. 9 ± 14. 2 min) in comparison with open appendectomy (31. 4 ± 11. 1 min) with p<0.001 but overall, the patients who underwent laparoscopic appendectomy had lesser hospital stay (1. 4 ± 0. 6 days) than those who underwent open appendectomy (2.7 ± 2.5 days, p<0.01). Patients were able to get back to their normal activities sooner (11. 5 ± 3. 1 days; 16. 1 ± 3. 3 days; t = -3. 80; p<0.01) and expressed higher level of satisfaction (4.7 ± 0.6 vs. 3.9 ± 0.7, p<0.01).
Conclusion: Compared to open appendectomy, laparoscopic appendectomy has a longer operative time, but the advantages include less postoperative recovery time, less postoperative pain and higher postoperative patient satisfaction.
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