Laparoscopy is safe for diagnostic and therapeutic purposes in patients with suspected acute appendicitis.
Dr Moberg and colleagues compared recovery after laparoscopic and open appendicectomy for confirmed appendicitis, carried out by experienced surgeons in an educational setting.
The researchers randomized prospectively 163 patients with laparoscopically confirmed appendicitis suitable for laparoscopic appendicectomy to either laparoscopic appendicectomy or open appendicectomy in a blinded fashion.
The primary endpoint was time to full recovery whilst secondary endpoints were operating time, complications, hospital stay and functional status.
| The median hospital stay was 2 days in both laparoscopic and open appendicectomy groups|
|British Journal of Surgery|
The research team noted no significant difference between laparoscopic appendicectomy and open appendicectomy in time to full recovery (9 and 11 days respectively).
The investigators reported that operating time was 55 min in the laparoscopic appendicectomy group and 60 min in the open appendicectomy group.
The complication rate observed by the researchers was 9 % and 11 % respectively, and median hospital stay was 2 days in both groups.
Dr Moberg concluded that, “Functional status was significantly better in the laparoscopic appendicectomy group 7-10 days after operation.”
“However, there was no difference in time to full recovery after laparoscopic appendicectomy and open appendicectomy in patients with laparoscopically confirmed appendicitis.”
“A trend towards better physical activity was noted after the laparoscopic procedure.”