The outcomes of laparoscopic versus open appendectomies for complicated appendicitis

Abstract

Background The role of laparoscopic appendectomy remains controversial in the context of complicated appendicitis. This study aimed to compare the clinical outcome of laparoscopic versus open appendectomy (OA) in patients with complicated appendicitis regarding operative time, morbidity, hospital stay, postoperative pain, ileus, 1-month follow-up, and need for readmission. Methods A randomized controlled study was performed on 40 patients presenting with complicated appendicitis. 20 patients were subjected to laparoscopic appendectomy (LA) and 20 patients underwent traditional OA. Results 25 (62.5%) patients were female, and 15 (37.5%) patients were male. A significant difference was noted in the domains of postoperative pain, return of peristalsis, time to start oral, hospital stay, and return to daily activities. The mean operative time was shorter in OA 91.4±11.99 min than in LA 109.1±16.71 min No statistically significant difference between both groups was calculated as regards the occurrence of intraabdominal collection. Conclusion Based on its clinical outcomes, laparoscopy should be considered in the setting of complicated appendicitis. The possibility of intraabdominal collection should not be a barrier against the widespread practice of this surgical procedure among laparoscopic surgeons if adequate precautions were employed.