Key result
Laparoscopic appendicectomy cuts hospital stay ~57% vs open surgery despite longer operative times.
Why the study?
Laparoscopic appendicectomy was previously limited to corporate hospitals and cities, but its use in rural areas is increasing, necessitating comparison with open appendicectomy in this setting.
Does laparoscopic appendicectomy improve clinical outcomes compared to open appendicectomy in patients with acute appendicitis?
RCT (n=88)
Open-label
Randomized into two groups
No
Does laparoscopic appendicectomy improve clinical outcomes compared to open appendicectomy in patients with acute appendicitis?
Absolute Event Rate: 3% vs 7%
Laparoscopic appendicectomy is a safe and clinically beneficial procedure that offers advantages over open appendectomy, including shorter hospital stay and earlier return to normal activities, even in a rural hospital setting.
Authors
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May favor laparoscopy for shorter stays in appendicitis; cross-sectional data leave open need for randomized confirmation.
Dr T.Henry Prabakaran (2017) conducted an RCT in Acute appendicitis (n=88). Laparoscopic appendicectomy vs. Open appendicectomy was evaluated on Mean hospital stay (days). Laparoscopic appendicectomy reduced mean hospital stay to 3 days compared to 7 days for open appendicectomy, despite a longer mean operative time of 95 minutes versus 72 minutes.
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