Main Article Content

Abstract

Open appendectomy has already commonly been performed to treat acute appendicitis, but the relatively more painful and longer incision scar becomes a cosmetical problem. Two port laparoscopic appendectomy can be performed safely, less painful and leaving only two small incision scars. The aim of the study was to evaluate the benefit of two-port laparoscopic appendectomy and that of with open appendectomy in the case of early acute appendicitis. An observational study was conducted from 2012 to 2014; to compare the operating time, post operative pain and wound infection in early acute appendicitis, performed with two-port laparoscopic appendectomy and with open appendectomy. The statistical analysis in this study uses t-test. There were 114 patients (73 men and 41 women) divided into two groups based on the choice made by the patients themselves. The number of samples performed with two-port laparoscopic appendectomy was 64 and that with open appendectomy was 46. Four patients were excluded from this study. In analysis using t-test, we found that the two-port laparoscopic appendectomy was more beneficial than open appendectomy. There was a significant difference between the two groups, the length of operation time was 37.22 minute in two-port laparoscopic appendectomy and 43.83 minute in open appendectomy (p=0.00), VAS pain score was 1.58 in two-port laparoscopic appendectomy and 2.30 in open appendectomy (p=0.00) and no post operative wound infection in both two groups. The conclusion is two-port laparoscopic appendectomy technique is faster and less painful and the same risk of wound infection than open appendectomy in early acute appendicitis.

Keywords

early acute appendicitis two-port laparoscopic appendectomy open appendectomy

Article Details

How to Cite
Budipramana, V. S. (2017). TWO-PORT LAPAROSCOPIC APPENDECTOMY IS MORE BENEFECIAL THAN OPEN APPENDECTOMY IN EARLY ACUTE APPENDICITIS. Folia Medica Indonesiana, 52(2), 131–135. https://doi.org/10.20473/fmi.v52i2.5229

References

  1. Adhikary S, Tyagi G, Sapkota A, Afaq A, Bhattarai BK, Agrawal CS (2008). Port exteriorization appendectomy: is it the future?. Nepal Med Coll J 10, 30-34
  2. Al Wadan A, Al Senebani J, Al Ahnoomi A, Al Saadi A (2010). Early complication and re-admission after laparoscopic and open appendectomy. Egyptian Journal of Surgery 29
  3. Anhel K (2012). Complications during and after laparoscopic appendectomy. BH Surgery 2, 49-53
  4. Augustin G, Matošević P, Mate M (2013). The lasso technique'-a simple intracorporeal two-port laparoscopic appendectomy: technical considerations and review of four other intracorporeal two-port techniques. Hepato-gastroenterology 60, 1058-1062
  5. Bresciani C, Perez RO, Habr-Gama A, Jacob CE, Ozaki A, Batagello C, Proscurshim I, Gama-Rodrigues J (2005). Laparoscopic versus standard appendectomy outcomes and cost comparisons in the private sector. J Gastrointest Surg 9, 1174-1181
  6. Bresciani C, Perez RO, Habr-Gama A, Jacob CE, Ozaki A, Batagello C, Proscurshim I, Gama-Rodrigues J (2005). Laparoscopic versus standard appendectomy outcomes and cost comparisons in the private sector. J Gastrointest Surg 9, 1174-1181
  7. Costa N (2013). Laparoscopic appendectomy quality care and cost-effectiveness for todays’ economy. World Journal of Emergency Surgery 8, 45
  8. Doepker MP, Gregg JL, Meeker G, Ellis B, Grannan K (2014). Does the use of newer technology to divide the mesoappendix result in less bleeding? a retrospective analysis. Journal of Current Surgery 4, 6-9
  9. Edelman D (1997). Laparoscopic appendectomy versus open appendectomy: a single institution study. Journal of the Society of Laparoendoscopic Surgeons 1
  10. El-Gohary MA and El-Marsafawy M (2001). Port-exteriorization appendectomy (PEA): a preliminary report. Pediatr Surg Int 17, 39-41
  11. Katkhouda N, Mason RJ, Towfigh S, Gevorgyan A, Essani R (2005). Laparoscopic versus open appendectomy: a prospective randomized double-blind study. Ann Surg 242, 439–450
  12. Knott EM, Gasior AC, Holcomb III GW, Ostlie DJ, St Peter SD (2012). Impact of body habitus on single-site laparoscopic appendectomy for nonperforated appendicitis: subset analysis from a prospective, randomized trial. Journal of Laparoendoscopic & Advanced Surgical Techniques 22, 404-407
  13. Li X, Zhang J, Sang L, Zhang W, Chu Z, Li X, Liu Y (2010). Laparoscopic versus conventional appendectomy- a meta-analysis of randomized controlled trials. BMC Gastroenterology 10, 129
  14. SAGES (2009). Guidelines for laparoscopic appendectomy, SAGES Society of American Gastrointestinal and Endoscopic Surgeons. Available from http://www.sages.org. Accessed October 15, 2015
  15. Sauerland S, Lefering R, Neugebauer EA (2004). Laparoscopic versus open surgery for suspected appendicitis. The Cochrane Library
  16. Towfigh S, Chen F, Mason R, Katkhouda N, Chan L, Berne T (2006). Laparoscopic appendectomy significantly reduces length of stay for perforated appendicitis. Surgical Endoscopy and Other Interventional Techniques 20, 495-499
  17. Yagnik VD, Rathod JB, Phatak AG (2010). A retrospective study of two-port appendectomy and its comparison with open appendectomy and three-port appendectomy. Saudi Journal of Gastroenterology 16, 268-271