Laparoscopic versus open appendectomy in acute appendicitis: a randomized prospective study.
BACKGROUND
Laparoscopic appendectomy is a safe and effective procedure, as both a diagnostic and therapeutic tool. It seems to be more effective than the corresponding open procedure. Aim of this study is to evaluate a group of patients randomly allocated either to laparoscopic appendectomy (LA) or to open appendectomy (OA).


METHODS
From January 1998 to December 2002, 252 consecutive and nonselected patients, 155 women and 97 men, were randomized either to LA or OA. Recorded data were operative time, postoperative length, of stay and complications.


RESULTS
Mean operative time was 45 min (range 30-120) for OA and 36 min (25-60) for LA, mean postoperative stay was 5.5 days (4-12) for OA and 3.4 days (2-8) for LA. Complication occurred in 20 patients (14.5%) for OA and in four patients (2.6%) for LA.


CONCLUSIONS
We believe that LA is effective in any kind of clinical situation, with low traumatic impact and best comfort for the patient.
Olmi
S
S
Second Department of General Surgery, Centre for Minimally Invasive Surgery, Ospedale san Gerardo, Via Donizetti 106, Monza, MI, 20052, Italy.
Magnone
S
S
Bertolini
A
A
Croce
E
E
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001062:Appendectomy / Q000379:methods*; D001064:Appendicitis / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies