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Laparoscopic versus open appendicectomy: A comparative study

  • Randomized Control Trial
  • Published:
Hellenic Journal of Surgery

Abstract

Acute appendicitis is one of the most common emergency surgical problems encountered. Pioneered by McBurney in 1894, appendicectomy is considered the treatment of choice for acute appendicitis. Since its initial description by Semm in 1983, Laparoscopic appendicectomy (LA) has struggled to prove its superiority over the open technique. The advantages of LA over open appendicectomy (OA) are believed to be less postoperative pain, shorter hospital stay and early return to usual activity, while the incidence of postoperative wound infection is also thought to be lower. However, certain views contend that the benefit of this method is minimal, with higher cost. Though multiple prospective randomized trials, meta-analyses, and systematic reviews have been conducted to assess the value of LA over OA, the heterogeneity of the measured variables and other weaknesses in methodology have not allowed definitive conclusions to be drawn. In our study, we also took into consideration the above parameters so as to compare the advantage of LA versus OA but found no statistical significance of LA over OA.

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Correspondence to Abidali Karat Parambil.

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Abbas, S.K., Mannarakkal, R., Parambil, A.K. et al. Laparoscopic versus open appendicectomy: A comparative study. Hellenic J Surg 88, 18–24 (2016). https://doi.org/10.1007/s13126-016-0277-y

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  • DOI: https://doi.org/10.1007/s13126-016-0277-y

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