[Comparative evaluation of the surgical treatment of acute appendicitis: open appendicetomy versus laparoscopic appendicectomy in the national hospital hospital Carlos a. Seguin e. Essalud].
OBJECTIVE
To establish the advantages and disadvantages of open appendicectomy versus laparoscopic appendicectomy in the surgical treatment of acute appendicitis in the National Hospital Carlos Alberto Seguin Escobedo.


OBJECTIVE
Comparative evaluation of open appendicectomy versus laparoscopic appendicectomy in their grouped in: a) Characters/Features.- Age, sex, occupation, time of disease, symptoms and signs, laboratory investigations, pre and post operative diagnoses, pre and post operative antibiotic therapy and time of anesthesia, b) Impact of surgical techniques in: preoperative time, operative time, operative accidents, stay in hospital and postoperative complications, and c) Evaluation of the benefits through comparative costs of both techniques. Survey Material. It was made/done a comparative survey of 100 cases/events of open Apendicectomy versus 100 cases/events of Laparoscopic Appendicectomy.


RESULTS
In the comparative evaluation of both surgical techniques there is not significant difference in: age, time of disease, time of waiting before the operation, stay in hospital, postoperative complications. There are significant difference in: sex, more frequency in female in laparoscopic appendicectomy; general anesthesia more frequent in laparoscopic appendicectomy; longer operative time in laparoscopic appendicectomy (103.03 min); higher total cost on average in laparoscopic appendicectomy (2047.97 new soles) conversion index laparoscopic appendicectomy 4%


CONCLUSIONS
Laparoscopic appendicectomy does not offer significant benefits over open appendicectomy in patients with acute appendicitis with the exception of the esthetic aspect in women and disadvantages langer operative time and more expensive.
Rivera Díaz
Edgar Marcial
EM
Departamento de Cirugía Facultad de Medicina UNSA. Cirujano Asistente del Servicio de Cirugía General Hospital Nacional Carlos Alberto Seguin Escobedo EsSALUD. dredgarrivera@hotmail.com
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001062:Appendectomy / Q000379:methods* / Q000706:statistics & numerical data; D001064:Appendicitis / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003365:Costs and Cost Analysis; D005260:Female; D006779:Hospitals, Public; D006801:Humans; D010535:Laparoscopy / Q000379:methods* / Q000706:statistics & numerical data; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010568:Peru; D011182:Postoperative Care; D011183:Postoperative Complications; D011300:Preoperative Care; D012189:Retrospective Studies; D013997:Time Factors