Laparoscopic versus open appendectomy for acute appendicitis

As the advantages of laparoscopic approach for removal of the appendix are not clearly delineated laparoscopic appendectomy did not receive the widespread acceptance seen with laparoscopic cholecystectomy. During the last 10 monthes, sixty patients with accute appendicitis had a classical open (30 patients) or laparoscopic appendectomy (30 patients) performed by the same surgical team. The mean operating time was 45 min (20-70) for laparoscopic, while 50 min (30-60) for open appendectomy. The mean postoperative hospital stay was 2.5 days (1-7) for open appendectomy while 1.3 days (1-4) for laparoscopic appendectomy. The postoperative complications were more Frequent after open appendectomy because of the greater wound infection rate. Follow-up showed less pain and faster return to work and sports after laparoscopic appendectomy. Laparoscopic appendectomy is superior to open appendectomy in terms of hospital stay, postoperative pain and complications and return to normal activities.