| A Comparative Analysis of Laparoscopic versus Open Appendectomy
in Treatment of Acute Appendicitis |
| 급성 충수돌기염의 치료에서 복강경 절제술과 개복 절제술의 비교 |
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박의준; 김용훈; 강구정; 임태진 |
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| Abstract |
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Many clinical studies had compared the outcomes of laparoscopic appendectomy for
appendicitis with open appendectomy. Although most of them showed the advantages of
laparoscopic surgery; some showed no advantage with laparoscopic appendectomy. The aim of
this study was to compare the laparoscopic appendectomy with open appendectomy by analyzing
the surgical outcomes and costs. We retrospectively analyzed the clinical outcomes of 153
patients who had undergone laparoscopic or conventional appendectomy between January 2003
and December 2005. The patients were divided into two groups; one for the laparoscopic
appendectomy (LA) and another for open appendectomy (OA). The patients of each group was 87
for LA and 66 for OA. The mean age was 40.6 (±19.3) years in LA; 42.0 (±18.5) years in OA
(p=0.701). The mean duration of hospital stay for the uncomplicated appendicitis was 3.5 (±3.3)
days in LA; 4.2 (±2.6) days in OA. The hospital cost was 1;874;000 (±677;000) won in LA;
1;449;000 (±559;000) won in OA (p=0.001). Postoperative complication rate was same between
two groups. The number of perforated appendicitis investigated in the pathologic finding of two
groups was 10 and 12. The mean duration of hospital stay for the complicated appendicitis was
7.3 days in LA; and 7.4 days in OA (p=0.969). The hospital cost of perforated group was
2;141;000 (±922;000) won in LA; and 2;345;000 (±932;000) won in OA (p=0.223). The
postoperative complication rate was similar between two groups. There was no statistical
difference in demographic findings; hospital stay; and complication rate between two groups.
However hospital cost of the laparoscopic and open appendectomy for uncomplicated appendicitis
was higher in LA; but higher in OA for the complicated appendicitis. |
| Key Words:
Appendicitis, Laparoscopic appendectomy, Open appendectomy |
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