Open Appendicectomy Versus Laproscopic Appendicectomy: An Analysis of the Surgical Outcomes and Cost Efficacy in Raipur Institute Of Medical Science,RAIPUR,CHHATTISGURH

Dr. Gambheer singh; Dr. Vinod Kumar Singh; Dr. Brajendra  Kumar

Volume : V, Issue : XII, December - 2016

Open Appendicectomy Versus Laproscopic Appendicectomy: An Analysis of the Surgical Outcomes and Cost Efficacy in Raipur Institute Of Medical Science,RAIPUR,CHHATTISGURH

Dr. Gambheer Singh, Dr. Vinod Kumar Singh, Dr. Brajendra Kumar

Abstract :

Our study aimed to compare the surgical outcomes and cost efficiency of laparoscopic versus open appendectomy in RIMS,RAIPUR,CHHATTISGURH. A retrospective analysis of 100 patients who underwent appendicectomy in a Medical College Hospital from January 2011 to June 2015 was undertaken. Patients were divided into two groups of 50 each, and variables were analyzed including patient demographic data, operative time, duration of post operative pain and hospital stay, post operative complications and total costs. The results were analyzed by using statistical package for social services (SPSS, version 11.0, Chicago IL), Students t test, Chi square or Fischer�s exact test as appropriate. Laparoscopic and open appendicectomy were performed in 50 patients each. There was no statistical significance (p=0.8293) in the mean operative time (LA=73.36 mins, OA = 63.67 mins). Mean duration of postoperative pain was much less for the laparoscopic group (1.81 days) and statistically significant (p=0.0014). The incidence of complications was much lower after laparoscopic surgery (4%) in comparison to open surgery (12%). Length of hospital stay was significantly lesser (p=0.0010) while mean total cost was significantly higher (p=0.0001) in the LA group. As laparoscopic appendectomy is associated with fewer complications, shorter hospital stay, almost similar operative time, lower rate of intraabdominal abscess and marginally higher cost of treatment when compared to open appendicectomy, it can be recommended as the preferred approach of treatment for acute-appendicitis.