What is gold standard for Appendicectomy? Open or laparoscopic
Keywords:
Appendicectomy, Laparoscopic, Open
Abstract
Introduction: Appendicectomy is one of the most common acute surgical emergency. Laparoscopic appendicectomy was first reported well before laparoscopic cholecystectomy, the market penetration is very poor. Role of laparoscopic appendicectomy remains controversial even after 30 years of inception. The present study is designed to assess these conflicts.
Methods: 60 patients admitted in department of surgery with diagnosis of acute appendicitis, recurrent appendicitis and those kept for interval appendicectomy were randomly divided into two groups A and B. The patients in group A were subjected to laparoscopic appendicectomy and patients in group B underwent open appendicectomy.
Results: Mean duration of surgery in LA was 41.78+ 13.55 mins, in OA was 61.66+ 25.25 and 102+ 3.54 mins for converted group. Postoperative pain was significantly less in patients operated with laparoscopic technique (3.18+ 1.09) as compared to OA (4.76+ 2.03) group as evident by number of analgesic requirement. Mean length of stay was shortest in LA group 2.5 + 1.07 days, followed by OA 4.833 + 2.11 days and 8.5 + 3.54 in converted group.
Conclusion: Laparoscopic appendicectomy is having less complications as compared to open appendicectomy. Hence laparoscopic appendicectomy also decreases the morbidity associated with operative procedure, wound infection , paralytic ileus and prolonged hospitalization.
Downloads
Download data is not yet available.
References
1. Amyand C. Of an inguinal rupture with a pin in the appendix caeci encrusted with stone: some observations on wounds in the guts. Philosoph Trans R Soc Land 1736;39:329-42. [PubMed]
2. Semm K. Endoscopic appendectomy. Endoscopy 1983 Mar;15(2):59-64. [PubMed]
3. Lee VS, Chari RS, Cucchiar G , Meyers WC. Complications of Laparoscopic cholecystectomy. Am J Surg.1993 Apr;165(4):527-32. [PubMed]
4. Addiss DG, Shaffer N, Fowler BS and BS and Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States.Am J Epdemiol 1990:132: 910-25. [PubMed]
5. Bailey RW, Zucker KA, Flowers JL, Scovill WA, Graham SM, Imbembo AL. Laparoscopic cholecystectomy. Experience with 375 consecutive patients. Ann Surg. 1991 Oct;214(4):531–541. [PubMed]
6. The Southern Surgeons Club. A prospective analysis of 1518 laparoscopic cholecystectomies. N Engl J Med. 1991 Apr 18;324(16):1073-8; 324(16): 1073-8. [PubMed]
7. Schirmer BD, Edge SB, Dix J, Hyser MJ, Hanks JB, Jones RS. Laparoscopic cholecystectomy: treatment of choice for symptomatic cholelithasis. Ann Surg. 1991 Jun;213(6):665-77.
8. Deziel DJ, Millikan KW, Economou SG, Doolas A, Ko ST, Airan MC. Complications of laparoscopic cholecystectomy : a national survey of 4292 hospital and an analysis of 77604 cases. Am J Surg. 1993 Jan;165(1):9-14. [PubMed]
9. Nuzzo G, Giuliante F, Tebala GD, Vellone M, Cavicchioni C. Routine use of open technique in laparoscopic operations. J Am Coll Surg. 1997 Jan;184: 58-62. [PubMed]
10. Molly D, Kalloo PD, Cooper M. Laparoscopic entry: a literature review and analysis of techniques and complications of port entry: Aus NZJ Obstet Gynaecol 2002;14:365-74. [PubMed]
11. Vernon AH and Hunter JG. Funndamentals of Laparoscopic surgery in Zinner MJ, Ashley SW, Editors: Maingot s Abdominal Operations. 11th Ed. USA : McGraw- Hill, 2007;44:1099-1111. [PubMed]
12. Wolfe BM, Gardiner BN, Leary BF, Frey CF. Endoscopic cholecystectomy. An analysis of complications. Arch Surg. 1991 Oct; 126(10): 1192-6. [PubMed]
13. Champault G, Cazacu F, Taffinder N. Serious trocar accidents in laparoscopic surgery: a French survey of 103,852 operations. Surg Laparosc Endosc. 1996 Oct; 6(5):367-70. [PubMed]
14. Long KH, Bannon MP, Zietlow SP, Helgeson ER, Harmsen WS, Smith CD, Iistrup DM, Baerga- Varela Y and Sarr MG. A prospective randomized comparison of laparoscopic appendectomy with open appendectomy. Clinical and economic analysis.. Surgery 2001;129(4):390-400. [PubMed]
15. Linos DA, Vlitaki M, Peppas G and Tsakayannis D. Laparoscopy in the context of lower abdominal pain in young women. Journal of Laparoendoscopic and advanced surgical techniques. 1999;9(1) 39-43. [PubMed]
15. Brosseuk DT and Bathe OF. Day – care laparoscopic appendectomies. Can J Surg 1999 Apr;42(2):138-42. [PubMed]
16. Attwood SE, Hill AD, Murphy PG. A prospective randomized trial of laparoscopic versus open appendectomy. Surgery 1992 Sep;112(3):497-501. [PubMed]
17. Kum CK, Ngoi SS, Goh PMY, Tekant Y and Issac JR. Randomized controlled trial comparing laparoscopic and open appendicectomy. Br J Surg 1993 Dec;80:1599-1600. [PubMed]
18. Cox MR, McCall JL, Wilson TG, Toouli J. Laparoscopic appendicectomy: A prospective analysis. Aust Nz J Surg 1993 Nov;63(11):840-47. [PubMed]
19. Hansen JB, Smithers BM, Shache D, Wall DR, Miller BJ and Menzies BL. Laparoscopic versus open appendectomy: prospective randomized trial. World J Surg 1996;20:17-21.
20. Merhoff AM, Merhoff GC and Franklin ME. Laparoscopic versus open appendectomy. Am J Surg 2000 May; 179(5):375-8. [PubMed]
21. Hellberg A, Rudgberg C, Kullman E, Enochsson L, Fenyo G, Graffner H, Hallerback B, Johonsson B, Anderberg B, Wenner J et al. Prospective randomized multicenter study of laparoscopic versus open appendicectomy. Br J Surg 1999;86(1):48-53. [PubMed]
22. Duff SE and Dixon AR. Laparoscopic appendicectomy: Safe and useful for training. Ann R Coll Surg Engl 2000 Nov; 82 (6): 388-91. [PubMed]
23. Frazee RC, Roberts JW, Symmonds RE, Snyder SK, Hendricks JC, Smith RW et al. A prospective randomized trial comparing open versus laparoscopic appendectomy. Ann Surg 1994 Jun; 219(6):725-31.
24. Nazzal M, Ali MA, Turfah F, Kaidi A, Saba A, Pleatman and Silva Y. Laparoscopic appendectomy. A viable alternative approach. Journal of Laparoendoscopic and Advanced Surgical Techniques 1997;7(1):1-6.
25. MaCarulla E, Vallet J, Abad JM, Hussein H, Fernandez E and Nieto B. Laparoscopic versus open appendectomy : A Prospective and Randomized Trial. Surgical Laparoscopy and Endoscopy 1997 ; 7 (4): 335-9. [PubMed]
26. McCall JL, Sharples K and Jadallah F. Systematic review of randomized controlled trials comparing laparoscopic with open appendicectomy. Br J Surg 1997 Aug; 84 : 1045-50. [PubMed]
27. Temple LK, Litwin DE, Mcleod RS. A meta-analysis of laparoscopic versus open appendicectomy in patients suspected of having acute appendicitis. Can J Surg 1999 Oct;42:377-83. [PubMed]
28. DeUtpal. Laparoscopic versus open appendicectomy : An Indian perspective. Journal of Minimal Access Surgery 2005;1(1):15-20. [PubMed]
29. Reid RI, Dobbs BR and Frizelle FA. Risk factors for post appendicectomy intraabdominal abscess. Aust NZ J Surg 1999 May;69 (5):373-4. [PubMed]
30. Kazemier G, De Zeeuw GR, Lange JF, Hop WC, and Bonjer HJ. Laparoscopic vs open appendectomy: a randomized clinical trial. Surg Endosc 1997 Apr;11:336-40. [PubMed]
31. Hart R, Rajgopal C, Plewes A, Sweeney J, Davies W, Gray D et al. Laparoscopic versus open appendectomy : a prospective randomized trial of 81 patients. Can J Surg 1996;39:457-62. [PubMed]
32. Rohr S, Thirty CL, De Manzini N, Perrauid V, and Meyer C. Laparoscopic versus open appendicectomy : prospective randomized study. Br J Surg 1994;81:133-5.
2. Semm K. Endoscopic appendectomy. Endoscopy 1983 Mar;15(2):59-64. [PubMed]
3. Lee VS, Chari RS, Cucchiar G , Meyers WC. Complications of Laparoscopic cholecystectomy. Am J Surg.1993 Apr;165(4):527-32. [PubMed]
4. Addiss DG, Shaffer N, Fowler BS and BS and Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States.Am J Epdemiol 1990:132: 910-25. [PubMed]
5. Bailey RW, Zucker KA, Flowers JL, Scovill WA, Graham SM, Imbembo AL. Laparoscopic cholecystectomy. Experience with 375 consecutive patients. Ann Surg. 1991 Oct;214(4):531–541. [PubMed]
6. The Southern Surgeons Club. A prospective analysis of 1518 laparoscopic cholecystectomies. N Engl J Med. 1991 Apr 18;324(16):1073-8; 324(16): 1073-8. [PubMed]
7. Schirmer BD, Edge SB, Dix J, Hyser MJ, Hanks JB, Jones RS. Laparoscopic cholecystectomy: treatment of choice for symptomatic cholelithasis. Ann Surg. 1991 Jun;213(6):665-77.
8. Deziel DJ, Millikan KW, Economou SG, Doolas A, Ko ST, Airan MC. Complications of laparoscopic cholecystectomy : a national survey of 4292 hospital and an analysis of 77604 cases. Am J Surg. 1993 Jan;165(1):9-14. [PubMed]
9. Nuzzo G, Giuliante F, Tebala GD, Vellone M, Cavicchioni C. Routine use of open technique in laparoscopic operations. J Am Coll Surg. 1997 Jan;184: 58-62. [PubMed]
10. Molly D, Kalloo PD, Cooper M. Laparoscopic entry: a literature review and analysis of techniques and complications of port entry: Aus NZJ Obstet Gynaecol 2002;14:365-74. [PubMed]
11. Vernon AH and Hunter JG. Funndamentals of Laparoscopic surgery in Zinner MJ, Ashley SW, Editors: Maingot s Abdominal Operations. 11th Ed. USA : McGraw- Hill, 2007;44:1099-1111. [PubMed]
12. Wolfe BM, Gardiner BN, Leary BF, Frey CF. Endoscopic cholecystectomy. An analysis of complications. Arch Surg. 1991 Oct; 126(10): 1192-6. [PubMed]
13. Champault G, Cazacu F, Taffinder N. Serious trocar accidents in laparoscopic surgery: a French survey of 103,852 operations. Surg Laparosc Endosc. 1996 Oct; 6(5):367-70. [PubMed]
14. Long KH, Bannon MP, Zietlow SP, Helgeson ER, Harmsen WS, Smith CD, Iistrup DM, Baerga- Varela Y and Sarr MG. A prospective randomized comparison of laparoscopic appendectomy with open appendectomy. Clinical and economic analysis.. Surgery 2001;129(4):390-400. [PubMed]
15. Linos DA, Vlitaki M, Peppas G and Tsakayannis D. Laparoscopy in the context of lower abdominal pain in young women. Journal of Laparoendoscopic and advanced surgical techniques. 1999;9(1) 39-43. [PubMed]
15. Brosseuk DT and Bathe OF. Day – care laparoscopic appendectomies. Can J Surg 1999 Apr;42(2):138-42. [PubMed]
16. Attwood SE, Hill AD, Murphy PG. A prospective randomized trial of laparoscopic versus open appendectomy. Surgery 1992 Sep;112(3):497-501. [PubMed]
17. Kum CK, Ngoi SS, Goh PMY, Tekant Y and Issac JR. Randomized controlled trial comparing laparoscopic and open appendicectomy. Br J Surg 1993 Dec;80:1599-1600. [PubMed]
18. Cox MR, McCall JL, Wilson TG, Toouli J. Laparoscopic appendicectomy: A prospective analysis. Aust Nz J Surg 1993 Nov;63(11):840-47. [PubMed]
19. Hansen JB, Smithers BM, Shache D, Wall DR, Miller BJ and Menzies BL. Laparoscopic versus open appendectomy: prospective randomized trial. World J Surg 1996;20:17-21.
20. Merhoff AM, Merhoff GC and Franklin ME. Laparoscopic versus open appendectomy. Am J Surg 2000 May; 179(5):375-8. [PubMed]
21. Hellberg A, Rudgberg C, Kullman E, Enochsson L, Fenyo G, Graffner H, Hallerback B, Johonsson B, Anderberg B, Wenner J et al. Prospective randomized multicenter study of laparoscopic versus open appendicectomy. Br J Surg 1999;86(1):48-53. [PubMed]
22. Duff SE and Dixon AR. Laparoscopic appendicectomy: Safe and useful for training. Ann R Coll Surg Engl 2000 Nov; 82 (6): 388-91. [PubMed]
23. Frazee RC, Roberts JW, Symmonds RE, Snyder SK, Hendricks JC, Smith RW et al. A prospective randomized trial comparing open versus laparoscopic appendectomy. Ann Surg 1994 Jun; 219(6):725-31.
24. Nazzal M, Ali MA, Turfah F, Kaidi A, Saba A, Pleatman and Silva Y. Laparoscopic appendectomy. A viable alternative approach. Journal of Laparoendoscopic and Advanced Surgical Techniques 1997;7(1):1-6.
25. MaCarulla E, Vallet J, Abad JM, Hussein H, Fernandez E and Nieto B. Laparoscopic versus open appendectomy : A Prospective and Randomized Trial. Surgical Laparoscopy and Endoscopy 1997 ; 7 (4): 335-9. [PubMed]
26. McCall JL, Sharples K and Jadallah F. Systematic review of randomized controlled trials comparing laparoscopic with open appendicectomy. Br J Surg 1997 Aug; 84 : 1045-50. [PubMed]
27. Temple LK, Litwin DE, Mcleod RS. A meta-analysis of laparoscopic versus open appendicectomy in patients suspected of having acute appendicitis. Can J Surg 1999 Oct;42:377-83. [PubMed]
28. DeUtpal. Laparoscopic versus open appendicectomy : An Indian perspective. Journal of Minimal Access Surgery 2005;1(1):15-20. [PubMed]
29. Reid RI, Dobbs BR and Frizelle FA. Risk factors for post appendicectomy intraabdominal abscess. Aust NZ J Surg 1999 May;69 (5):373-4. [PubMed]
30. Kazemier G, De Zeeuw GR, Lange JF, Hop WC, and Bonjer HJ. Laparoscopic vs open appendectomy: a randomized clinical trial. Surg Endosc 1997 Apr;11:336-40. [PubMed]
31. Hart R, Rajgopal C, Plewes A, Sweeney J, Davies W, Gray D et al. Laparoscopic versus open appendectomy : a prospective randomized trial of 81 patients. Can J Surg 1996;39:457-62. [PubMed]
32. Rohr S, Thirty CL, De Manzini N, Perrauid V, and Meyer C. Laparoscopic versus open appendicectomy : prospective randomized study. Br J Surg 1994;81:133-5.
CITATION
DOI: 10.17511/ijmrr.2015.i9.198
Published: 2015-10-31
How to Cite
1.
Goyal V, Gupta M, Rhezhii D. What is gold standard for Appendicectomy? Open or laparoscopic. Int J Med Res Rev [Internet]. 2015Oct.31 [cited 2024Dec.22];3(9):1090-5. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/369
Section
Original Article
OAI - Open Archives Initiative
