A Quality of Life Comparison of Laparoscopic and Open Approaches in Acute Appendicitis : A Randomised Prospective Study

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dc.authoridKaplan, Mehmet/0000-0002-8758-543X
dc.contributor.authorKaplan, M.
dc.contributor.authorSalman, B.
dc.contributor.authorYilmaz, T. U.
dc.contributor.authorOguz, M.
dc.date.accessioned2025-01-21T16:35:23Z
dc.date.available2025-01-21T16:35:23Z
dc.date.issued2009
dc.departmentKırıkkale Üniversitesi
dc.description.abstractBackground and objectives : The study aimed to evaluate the utility of a laparoscopic approach in the management of patients with right lower abdominal pain and in the quality of life after the operation. Methods : Patients with suspected appendicitis were included in the study. They were randomly assigned either to treatment with a traditional open approach or with a laparoscopic approach. The patients' data, including demographic data, complications and gastro-intestinal quality of life index scores, were collected at the 61 week and 611 month and compared between the groups. Results : Overall, 83 appendectomies were performed. Other pathologies were ovulation bleeding, ovarian cyst, Meckel's diverticulum, ectopic pregnancy and leiomyoma of the uterus. Negative appendectomy rate was 7%. Severe infection occurred in five of the open group. The advantages of the laparoscopy also showed significantly in hospital stay (55.80 +/- 20.97 hours vs. 75.06 +/- 35.14 hours), the need for narcotics and in visual analog score, as well as in the gastrointestinal quality of life index (85.88 +/- 9.73vs101.30 +/- 9.31). The quality of life is still better in the long-term (95.14 +/- 8.45 vs120.36 +/- 10.25). When the groups were compared according to the subgroups of gastro-intestinal quality of life index, except for disease-specific items, in all categories a significant improvement was seen in the laparoscopically treated patients. This improvement was observed in the follow-up period also. However, the hospital costs (987.50 +/- 77.25 USD vs. 406.27 +/- 100.59 USD) and operative time (56.25 +/- 10.9 vs. 49.41 +/- 11.76 minutes) still continued to be a problem for the laparoscopic group. Conclusion : Laparoscopic appendectomy is a safe method, which also has advantages of diagnostic procedure for other pathologies, a better quality of life both in the early and late period, and a short hospital stay. The important advantage is also seen in the late period with better quality of life.
dc.identifier.endpage363
dc.identifier.issn0001-5458
dc.identifier.issue3
dc.identifier.pmid19943593
dc.identifier.startpage356
dc.identifier.urihttps://hdl.handle.net/20.500.12587/24103
dc.identifier.volume109
dc.identifier.wosWOS:000270191900016
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherActa Medical Belgica
dc.relation.ispartofActa Chirurgica Belgica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectAppendectomy; laparoscopy; quality of life
dc.titleA Quality of Life Comparison of Laparoscopic and Open Approaches in Acute Appendicitis : A Randomised Prospective Study
dc.typeArticle

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