A Comparative Study On 2-Port Versus 3-Port Laparoscopic Appendicectomy

BACKGROUNDAppendicitis is the most common of the surgically managed pain abdomen cases. Early surgical intervention improves outcome. First laparoscopic appendectomy was performed by deKok in 1977.(1) Laparoscopic appendicectomy is the standard of treatment and has standard advantage over open appendicectomy(2) with a slight increase in formation of intra-abdominal abscess.(3)The aim was to study the duration of anaesthesia, postop analgesic doses required, duration of hospital stay and complication profile of standard 3-port appendectomy vs. 2-port lap. assisted appendectomy in cases with early appendicitis.MATERIALS AND METHODSA prospective study was conducted in Government General Hospital, Kakinada. The study period is from 1(st) June 2016 to 15(th) October 2016. The study sample is 62 patients, randomised to both groups in patients with acute appendicitis with no adhesions or mass formation.RESULTSThere is decrease in the duration of patient under anaesthesia, number of postop analgesic doses required, duration of hospital stay and complication profile was studied and found be better than that with standard 3-port appendectomy.CONCLUSIONIn patients with early appendicitis with no mass formation or adhesions 2-port lap. assisted open appendicectomy can be done which decreases the duration of patient under anaesthesia, postoperative pain and with less number of postoperative doses of analgesic required. It helps in early enteral feeding, early mobilisation and early discharge of patient.