Appendicitis Research Today is a free monthly online journal that collates and summarizes the latest research about Appendicitis, including details on symptoms, surgery, causes, treatment.

Laparoscopic versus open appendectomy in acute appendicitis: a randomized prospective study.

Olmi S, Magnone S, Bertolini A, Croce E

Second Department of General Surgery, Centre for Minimally Invasive Surgery, Ospedale san Gerardo, Via Donizetti 106, Monza, MI, 20052, Italy.

BACKGROUND: Laparoscopic appendectomy is a safe and effective procedure, as both a diagnostic and therapeutic tool. It seems to be more effective than the corresponding open procedure. Aim of this study is to evaluate a group of patients randomly allocated either to laparoscopic appendectomy (LA) or to open appendectomy (OA). METHODS: From January 1998 to December 2002, 252 consecutive and nonselected patients, 155 women and 97 men, were randomized either to LA or OA. Recorded data were operative time, postoperative length, of stay and complications. RESULTS: Mean operative time was 45 min (range 30-120) for OA and 36 min (25-60) for LA, mean postoperative stay was 5.5 days (4-12) for OA and 3.4 days (2-8) for LA. Complication occurred in 20 patients (14.5%) for OA and in four patients (2.6%) for LA. CONCLUSION: We believe that LA is effective in any kind of clinical situation, with low traumatic impact and best comfort for the patient.

Published 26 October 2005 in Surg Endosc, 19(9): 1193-5.
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