A cost benefit analysis of laparoscopic versus open appendicectomy.

Dr. Priyatham Kamath; Dr. P. Sathyamoorthy Aithala; Dr. Rakesh Rai; Dr. Ramprakash Kalgujjikar

Volume : V, Issue : VIII, August - 2015

A cost benefit analysis of laparoscopic versus open appendicectomy.

Dr. Priyatham Kamath, Dr. P. Sathyamoorthy Aithala, Dr. Rakesh Rai, Dr. Ramprakash Kalgujjikar

Abstract :

Open appendicectomy is the ‘gold standard‘ for the treatment of acute appendicitis. Laparoscopic appendicectomy (LA), though widely practiced has not gained universal approval. The aim of this study was to evaluate the advantages of laparoscopic over open appendicectomy (OA). A total of 110 cases were included in the study. Most patients presented in second–third decade of life. The mean operating time was more in LA compared to OA (P<0.002). Post operative pain scores in LA was less than OA at 24 hours (P<0.002) and at discharge (P < 0.009). Post operative analgesic requirement was significantly lower in LA than OA cases (p<0.000). Post operative complications were equal in both groups. Duration of hospital stay was significantly lower for the LA than the OA cases (P=0.000). The total cost of hospital stay was significantly higher in LA group (p<0.000). The return to normal activity was earlier for the LA than the OA group (P<0.000). There was no mortality in either group. Overall, laparoscopic appendicectomy is better than open appendicectomy in selected patients with acute or recurrent appendicitis.