COMPARATIVE OUTCOMES OF LAP VS OPEN APPENDECTOMY IN ACUTE APPENDICITIS
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Abstract
Acute appendicitis is considered to be one of the most frequent surgical emergencies in the world. The laparoscopic appendectomy (LA) versus open appendectomy (OA) is an issue that is still subject to debate, particularly regarding the length of the operation time, post-surgery complications, and recovery.
Objective: To compare the clinical outcomes, postoperative complications, and recovery rates of laparoscopic and open appendectomies in patients with acute appendicitis in DHQ Hospital Abbottabad, KPK, Pakistan.
Methods: The research design was a cross-sectional study, which was conducted at DHQ Hospital Abbottabad, KPK, Pakistan from August, 2024 to July, 2025, and covered 120 patients with acute appendicitis. The study participants were divided equally into two groups: laparoscopic appendectomy (n=60) and open appendectomy (n=60). Data were analyzed using SPSS to calculate the time of operation, length of stay, postoperative pain, complications, and recovery to normal.
Results: The mean time of operation in the LA (61.5 ± 10.2 min) was higher than that in OA (54.7 ± 9.4 min; p=0.001). Nevertheless, patients had significantly shorter stay in hospital (1.8 ± 0.6 vs 3.6 ± 1.2 days; p<0.001), wound infection (5% vs 16.7%; p=0.04), and normal activities (4.2 ± 1.1 vs 7.8 ± 1.5 days; p<0.001). The patients were also more content with the laparoscopic group.
Conclusion: Laparoscopic appendectomy is superior to open appendectomy, which is less painful to the patient postoperatively, has less hospitalization, fewer complications, and a shortened recovery period despite slightly longer operating time. It should be taken as the suggested surgical procedure in uncomplicated cases of acute appendicitis in tertiary care hospitals where adequate skills and materials are available
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Nadir Saif Ullah Khan
Assistant Professor of Surgery, Women Medical College Abbottabad, KPK, Pakistan
Ulas Khan
Senior Registrar, Women Medical College Abbottabad, KPK, Pakistan
Talat Shahzad
Assistant Professor of Surgery, Women Medical College Abbottabad, KPK, Pakistan
Talat Shahzad
Assistant Professor of Surgery, Women Medical College Abbottabad, KPK, Pakistan
Naveed Ahmed
Senior Registrar, Women Medical College Abbottabad, KPK, Pakistan
Fahad Anwar
Medical Officer, DHQ Hospital Abbottabad, KPK, Pakistan
Hamza Ashraf
Associate Professor of Surgery, Women Medical College Abbottabad, KPK, Pakistan
Naveed Ahmed
Senior Registrar, Women Medical College Abbottabad, KPK, Pakistan