Open mini-incision vs laparoscopic appendectomy A retrospective single Centre study

INTRODUCTION: Laparoscopy appendectomy (LA) is the most widely used method for the treatment of acute appendicitis (AA). The interest has shed towards the mini-incision open method (MOA). MATERIALS AND METHODS: A retrospective study was conducted considering all patients who underwent surgery due to suspected appendicitis from December 2014 to January 2019. The final analysis included 234 patients. The following data were collected: patient age, sex, surgery duration, hospitalization time, wound infections, and mortality. RESULTS: The average time of surgery was 69.89 minutes in the LA group and 62.17 minutes in the MOA group, while the average time of postoperative hospitalization was respectively 5.579 days and 5.143 days. Wound infections occurred in 2 patients in the LA group and in 3 patients in the MOA group. CONCLUSION: Laparoscopic appendectomy has a similar operating time, hospitalization time and wound infections as Mini-incision open appendectomy. Therefore, both techniques are to be considered valid.

Automated summary

The study found that laparoscopic appendectomy and mini-incision open appendectomy have similar operating time, hospitalization time, and wound infection rates, indicating that both techniques are valid options for the treatment of acute appendicitis.