Laparoscopic appendectomy is an appropriate initial way in acute appendicitis surgery

Aim and design
Appendectomy is the treatment of acute appendicitis and still has no standard surgical technique. The purpose of this study is to compare conventional open appendectomy (OA) and laparoscopic appendectomy (LA) techniques, in terms of different parameters.
Patients and methods
A total of 169 patients were retrospectively analyzed. The patients were divided into the OA (=85) and the LA (=84) groups. Groups were compared in terms of age, sex, BMI, Charlson comorbidity index, leukocyte levels, C-reactive protein levels, and operative findings.
Results
There was a statistically significant difference between the two groups in terms of sex (=0.006) and leukocytosis (=0.009). The number of female patients was found to be higher in the LA group, and more leukocytosis was seen in the OA group. The operation time was shorter in the OA group (=0.001). Considering the complication rates, there was a statistically significant difference against the OA group (=0.042).
Conclusions
LA has higher recovery rates, has fewer complication rates, requires shorter hospital stay, and provides advantage in patients with high comorbidity. In acute appendicitis, first option in surgical intervention should be LA. Therefore, it is recommended that LA learning curve of the general surgery residents should be increased.