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7 - Retrospective evaluation of open and laparoscopic surgery outcomes in acute appendicitis
Özgür Bostancı, Şener Okul, Pınar Yazıcı, Rıza Gürhan Işıl, Uygar Demir, Canan Tülay Işıl, Mehmet Mihmanlı
Objective: In our study, postoperative period of laparoscopic and open surgical techniques were comparatively evaluated in patients who underwent surgery for acute appendicitis,.
Material and Method: Patients, who underwent surgery for acute appendicitisin Sisli Hamidiye Etfal Training and Research Hospital, General Surgery Department, between 01.01.2004-20.02.2013 were retrospectively reviewed. Age, gender, preoperative examinations, surgical procedures, intraoperative findings, pathological examination data and postoperative periodwere evaluated. According to operational procedure, patients were allocated in two groups as Group A, conventional appendectomy and Group L, laparoscopic appendectomy.
Results: A total of 3046 patients diagnosed on acute appendicitis were operated. 66% of the patients were male, 34% were female, mean age was of 25.3 (16-98 ) years. Mean operation time was 45.32±8.63 minutes in Group A (n=2662), 49.71±10.11 minutes in Group L (n=384) (p<0.01). Time to return to normal activities was, 11.90±3.6 days in Group A, 7.3±2.5 days in Group L (p<0.01).
Conclusion: Length of hospital stay and time to return to normal activity was shorter in patients undergoing laparoscopic appendectomy compared to conventional appendectomy. Laparoscopic appendectomy is a safe procedure in a hospital with sufficient equipment and experienced team.
Keywords: Acute appendicitis, appendectomy, laparoscopic surgery, conventional surgery
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