استئصال الزائدة عن طريق الجراحة التنظيرية لتدبير التهاب الزائدة الحاد : دراسة مقارنة

الملخص EN

Background and objective: Laparoscopic appendectomy has been recently considered a growing option in the management of acute appendicitis despite the debate about its superiority over the traditional open appendectomy.

This study aims to discover the advantages of laparoscopic appendectomy through a comparison between this approach and the open one.

Methods: 2076 patients operated for appendicitis at Almouassat University Hospital between 2011 and 2015 were studied retrospectively.

The patients were divided into two groups: group 1, patients who underwent laparoscopic appendectomy (250 patients), and group 2, those who underwent open appendectomy (1826 patients).

Patients’ data included: Age, gender, duration of symptoms, preoperative white blood cell count, operation time, postoperative pain, duration of hospitalization, and postoperative complications.

These variables were studied and compared between the two groups.

Results: Laparoscopic appendectomy was associated with a less postoperative pain (P < 0.0001), a shorter postoperative hospital stay (P < 0.0001), and a lower rate of postoperative complications (P = 0.000709) compared with open appendectomy.

Conversely, operative time was longer in the laparoscopic group compared with the open one (P < 0.0001).

Conclusion: Laparoscopic appendectomy represents an effective option in the management of appendicitis, this approach offers the advantages of a less postoperative pain, a shorter hospital stay, and a lower rate of postoperative complications compared with open appendectomy.