Resumen

VALLEJOS O, Claudio. Comparison between open and laparoscopic Appendectomy . Rev Chil Cir [online]. 2006, vol.58, n.2, pp. 114-121. ISSN 0718-4026.  doi: 10.4067/S0718-40262006000200007.

Background: The real benefits of laparoscopic over open appendectomy for the treatment of acute appendicitis are not well established. Aim: To compare the results of open and laparoscopic appendectomy. Patients and methods: Prospective non randomized study. All patients over 15 years old, with acute appendicitis were operated by laparoscopic appendectomy if the team performing laparoscopic surgery, was available. The rest of the patients were operated using the traditional approach. Results: Of a total of 176 eligible patients, 40 were operated by laparoscopic surgery (age range 15-82 years, 26 males) and 136 were subjected to open surgery (age range 15-78 years, 79 males). There were no differences between groups in disease severity, lapse between symptom onset and operation, hour of surgery or operative time. No differences in surgical wound infection or operative complications were observed either. The lapse between operation en resumption of oral feeding was lower among patients subjected to laparoscopic appendectomy. Conclusions: In this series of patients, no differences between open and laparoscopic appendectomy in operative time or surgical complications, were observed

Palabras clave : Laparoscopic surgery; appendicitis.