Relevance of laparoscopic appendicectomy in Indian scenario: An analytical study
Author(s): Dr. Anurag Jain, Dr. Anurag Shrivastava and Dr. Rajiv Jain
Abstract:Introduction: This article by means of data analysis obtained from our study have tried to evaluate feasibility and acceptability of laparoscopic appendicectomy in Indian scenario. Objective: Through this prospective study an effort have been made to find ideal technique for appendicectomy which can serve masses in low middle income group countries like India where patient load outnumber resources both in expertise and facilities. Methods: A prospective analysis of two groups of population which have undergone appendicectomy (laparoscopic versus open conventional) was done as per inclusion criteria. Results obtained were analysed on grounds of cost benefit, time taken for surgery, pain, post-operative complications, hospital stay, time to resume routine activities, subjective cosmesis and finally patients preference. Data obtained was statistically analysed. Results: The mean age of patients in laparoscopic group was 22.5 years and 27.6 years in open appendicectomy group. Out of 287 patients included as per inclusion criteria 69.69% (200) patients opted for open appendicectomy. Mean operative time for laparoscopic procedure was more than open conventional procedure (98 minutes compared to 51 minutes). Post-operative complications and median length of hospital stay were comparable in both groups. There was no significant statistical difference related to pain, time duration to resume routine activities, and subjective cosmesis. Cost of overall procedure in laparoscopic appendicectomy was significantly higher than open conventional group. Conclusion: conventional open appendicectomy isreliable, easy, safe and cost-effective technique and its use can dramatically reduce cost burden of surgery as compared to laparoscopic surgery.