Surgery for retrocecal acute appendicitis: Open or laparoscopic?

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Objective: Acute appendicitis is one of the most common reasons of acute abdomen. Surgeons are increasingly preferring laparoscopic techniques in acute appendicitis. But there are still concern in cases of perforation, retrocecal appendicitis and generalized peritonitis. The aim of our study is to compare the results of open appendectomy (OA) versus laparoscopic appendectomy (LA) in retrocecal appendicitis and to determine the efficacy of laparoscopic approach in such cases.Material and Methods: Twenty six patients were included to this retrospective study who underwent open or laparoscopic appendectomy due to acute retrocecal appendicitis. Duration of operation, length of hospital stay, complications such as wound infection, were noted and compared. Data was presented as mean± Standart Deviation (SD). Results: Mean operation time for patients who underwent LA and OA were 75± 20.3 SD min and 50± 11.4 SD min, respectively, p 0.001. Mean length of hospital stay for patients who underwent LA and OA were 27.64± 13 SD hours and 28.72± 10.9 SD hours, respectively, p 0.05. The cost of operation and hospitalization was significantly lower in the OA group. Mean total costs in the OA and LA groups were $ 557±133.9 SD and $ 806 ±264.3 SD, respectively, p 0.01. Rate of postoperative intraabdominal abscess in LA and OA groups were similar. One patient in LA Group and four patients in OA Group had wound infection, p 0.05. Conclusion: LA is a safe and reliable method in the surgery of acute retrocecal appendicitis, and lower wound infection rates seems to be its advantage. Open Appendectomy is superior to Laparoscopic Appendectomy with regards to operation time and costs.

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Retrocecal appendicitis , Open appendectomy , Laparoscopy appendectomy , Surgery

Kocatepe Medical Journal

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Kocatepe Medical Journal