Aleem Ullah Butt, Muhammad Tauseef Asghar.
Laparoscopic Versus Open Appendicectomy.
Esculapio J Services Inst Med Sci Jan ;7(3):32-4.

Objective: To compare the outcome of laparoscopic appendicectomy vs open appendicectomy, comparing operative time, length of hospital stay with post operative pain and complication rate. Material & Methods: This retrospective study was performed over a period of two years on patients admitted to Shalamar Hospital, Lahore under supervision of one surgeon.100 patients were included in study, 60 patients had laparoscopic appendicectomy (group-LA) and 40 patients had open appendicectomy (Group-OA). Results: Out of group LA, 20% (12) had perforated appendices while in group-OA 12% (4) had perforated appendices. Conversion to open appendectomy was done in 6.66 % (4) in group-LA. Laparoscopic appendectomy was associated with shorter hospital stay (mean 2.2 days) as compared to open appendectomy (Mean 3.1 days). In group LAincidence of wound infection was 5.0 % as compared to group OA in which it was 12.5%. There was no significant difference in operative time (LA = 51.3 minutes versus OA = 40.6 minutes). However, cost of group-LA (Rs. 22,500) was higher as compared to group-OA(Rs.15, 200). Conclusion: Laparoscopic appendectomy is as safe and efficient as open appendectomy provided surgical experience and equipment are available.

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