Comparison of open and laparoscopic appendectomy in uncomplicated appendicitis: a prospective randomized clinical trialAli Kocatas1, Murat Gonenc1, Mehmet Abdussamet Bozkurt2, Mehmet Karabulut1, Eyup Gemici1, Halil Alis11General Surgery Clinics, Dr. Sadi Konuk Training And Research Hospital, Istanbul, Turkey 2Pervari Public Hospital, Siirt, Turkey
BACKGROUND In the treatment of a subset of patients with uncomplicated appendicitis, no surgical method has been clearly estab- lished as superior. METHODS The present study was a prospective randomized clinical trial. Patients diagnosed with acute appendicitis were recruit- ed for the study. Patients with a preoperative diagnosis of complicated appendicitis were excluded. The patients were randomly divided into two groups: a laparoscopic appendec- tomy group and an open appendectomy group. The primary outcome measure was the rate of postoperative septic compli- cations. Secondary outcome measures were the length of hos- pital stay, postoperative pain score, and quality of life score. RESULTS Ninety-six patients were included in the study, 50 in the laparoscopic appendectomy group and 46 in the open ap- pendectomy group. There were no signi cant differences between the two groups in terms of the rates of postopera- tive septic complications, hospital stay lengths, postopera- tive pain scores, or quality of life scores. CONCLUSION The laparoscopic approach to appendectomy in patients with uncomplicated appendicitis does not offer a signi cant advan- tage over the open approach in terms of length of hospital stay, postoperative pain score, or quality of life, which are consid- ered the major advantages of minimally invasive surgery. Keywords: Appendicitis, laparoscopic appendectomy, open appendectomy, pain score, uncomplicated appendicitis, quality of life.
Ali Kocatas, Murat Gonenc, Mehmet Abdussamet Bozkurt, Mehmet Karabulut, Eyup Gemici, Halil Alis. Comparison of open and laparoscopic appendectomy in uncomplicated appendicitis: a prospective randomized clinical trial. Ulus Travma Acil Cerrahi Derg. 2013; 19(3): 200-204
Corresponding Author: Murat Gonenc, Türkiye |
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