Laparoscopic versus open surgery for suspected appendicitis

Background: Appendectomy is one among the foremost common surgery wiped out
emergency surgery. Appendectomy remains being performed by both open (OA) and 
laparoscopic (LA) methods. This study compared clinical outcomes between laparoscopic 
appendectomy technique and open surgery method for suspected appendicitis. Methods: This 
interventional study was performed for 50 patients diagnosed as suspected appendicitis. They 
were assigned to open appendectomy or laparoscopic appendectomy randomly. Results: a 
significant difference was found between the two studied groups according to operation time 
with longer in LAP appendicectomy technique; and there have been 4 cases of site infection of 
surgery in open appendicectomy group and 1 case in LAP appendicectomy group, no 
statistically significant difference in surgical site infection between the 2 studied groups.
Conclusion: Provided that surgical experience and equipment are available, laparoscopy might 
be considered safe and equally efficient compared to open technique and will be 
undertaken because the initial procedure of choice for many cases of suspected appendicitis. 
However, since there's no consensus to the simplest approach, both procedures (open and 
laparoscopic appendectomy) are still being practiced actively deferring the selection to the 
preference of surgeon and patients.