• Edgar Marcial Rivera Díaz.
• Departamento de Cirugía Facultad de Medicina UNSA. Cirujano Asistente del Servicio de Cirugía General Hospital Nacional Carlos Alberto Seguin Escobedo EsSALUD. dredgarrivera@hotmail.com
• Rev Gastroenterol Peru. 2002 Oct 1;22(4):287-96.

State Of The ProblemTo 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.Objectives/AimsComparative 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.ResultsIn 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%ConclusionLaparoscopic 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.

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