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RESEARCH ARTICLE
A Comparative Study between Open Appendicectomy and

Laparoscopic Appendicectomy: A Single-center Experience

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Vikram Yogish , Himanshi Grover , Velineni Bharath 3
AbstrAct
Appendicitis is a surgical emergency that is encountered by surgeons all over the world. Today, laparoscopic appendicectomy is the ideal
procedure that is done for a case of appendicitis.
Aim: The aim of the study is to show the benefits of laparoscopic appendicectomy and to determine the advantages of laparoscopic
appendicectomy over the conventional open method of appendicectomy.
Materials and methods: This was a prospective study that was carried out from March 2016 to February 2019. The study was conducted at SRM
Medical College Hospital and Research Centre, Kattankulathur, Tamil Nadu, India. Investigations, such as complete blood count (CBC), X-ray of
the abdomen, ultrasound abdomen, and CT scan of the abdomen, were done. A total of 101 patients were studied, and the results obtained
were tabulated. The statistics were analyzed using SPSS package 16.0. Ethical clearance was obtained from the institutional ethics committee.
Results: From our study, it was found that for most of the patients who presented with appendicitis, laparoscopic appendicectomy was the
procedure of choice (66.33%). The duration of surgery for most of our patients was 60 minutes or less. Moreover, 82.35% of patients who
underwent open appendicectomy and 89.55% of patients who underwent laparoscopic appendicectomy stayed in the hospital for only 3 days
or less after surgery.
Conclusion: Our study shows the benefits of laparoscopic appendicectomy and the reason that it is the procedure of choice in cases of appendicitis.
Keywords: Appendicitis, Laparoscopic appendicectomy, Open appendicectomy, Ultrasound abdomen.
World Journal of Laparoscopic Surgery (2021): 10.5005/jp-journals-10033-1468

IntroductIon 1–3 Department of General Surgery, SRM Medical College Hospital and
Appendicitis is a surgical emergency that is encountered by Research Centre, Chennai, Tamil Nadu, India
surgeons all over the world. In order to diagnose a condition of Corresponding Author: Vikram Yogish, Department of General
appendicitis accurately, a detailed history and a thorough clinical Surgery, SRM Medical College Hospital and Research Centre, Chennai,
examination must be done. Investigations, such as complete blood Tamil Nadu, India, Phone: +91 9843616909, e-mail: yogishvikram@
count (CBC), ultrasound abdomen, and CT scan of the abdomen, gmail.com
are very useful that may be done to arrive at the diagnosis of How to cite this article: Yogish V, Grover H, Bharath V. A Comparative
appendicitis. As far as the intervention for a case of appendicitis Study between Open Appendicectomy and Laparoscopic
is concerned, surgery may be done either through open or Appendicectomy: A Single-center Experience. World J Lap Surg
laparoscopic method. Today, laparoscopic appendicectomy is the 2021;14(3):205–207.
ideal procedure that is done for a case of appendicitis. However, it Source of support: Nil
is also important to know when to convert a case of laparoscopic Conflict of interest: None
appendicectomy to open appendicectomy.

AIm were analyzed using SPSS package 16.0. Ethical clearance was
obtained from the institutional ethics committee.
The aim of the study is to show the benefits of laparoscopic
appendicectomy and to determine the advantages of laparoscopic
appendicectomy over the conventional open method of results
appendicectomy. From the results of our study, it was found that for most of
the patients who presented with appendicitis, laparoscopic
appendicectomy was the procedure of choice (66.33%). The patients
mAterIAls And methods usually presented to the hospital with complaints of abdominal
This was a prospective study that was carried out from March pain over the right lower quadrant. The hospital stay for most of
2016 to February 2019, for a period of 3 years. The study was our patients was 3 days or less. Moreover, 82.35% of patients who
conducted at SRM Medical College Hospital and Research Centre, underwent open appendicectomy and 89.55% of patients who
Kattankulathur, Tamil Nadu, India. A detailed history was collected underwent laparoscopic appendicectomy stayed in the hospital
and a thorough clinical examination was done. Investigations, for only 3 days or less after surgery. The duration of surgery for
such as CBC, X-ray of the abdomen, ultrasound abdomen, and CT most of our patients was 60 minutes or less. It was also seen that
scan of the abdomen, were done. The CT scan of the abdomen was the patients who underwent laparoscopic appendicectomy were
done only when absolutely required. A total of 101 patients were able to return to work faster than those who had to undergo the
studied, and the results obtained were tabulated. The statistics conventional open method of appendicectomy (Tables 1 to 6).

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