Comparative study between Open Surgical Technique versus Laparoscopic Appendectomy in Complicated Appendicitis

Background; The benefits of diagnostic and therapy in a single procedure with minimal morbidity are combined in the laparoscopic appendectomy (LA). Furthermore, the entire abdomen may be visualized to exclude any additional pathology that may be present. Patients are likely to experience less postsurgical pain, get discharged from the hospital, and come back to normal activities and employment sooner than those who have undergone open appendectomy (OA). Objective: To compare between Laparoscopic and open appendectomy in complicated appendicitis. Subjects and methods: This study was a prospective study involving 40 patients who were suspected of having complicated acute appendicitis in the emergency room of Al-Azhar University Hospitals. Patients had been randomly assigned to one of two groups: Group A, which comprised 20 patients who had laparoscopic appendectomy, and Group B, which comprised 20 patients who had open appendectomy. Result: There was a statistically significant reduction in hospital stay and post-surgical complications in group A compared to group B, but an increase in operative time in group A compared to group B (p < 0.001). Conclusion: Laparoscopic appendectomy is a safe and viable operation for treating complicated appendicitis, and it could be the first option without an increase in postsurgical complications. Despite the surgeons' increased experience, the lengthier surgery time remains an issue for laparoscopic surgery.