ABSTRACT
AIM: The aim of our study is to compare the pre, intra- and post-operative variables of the two surgical techniques, to demonstrate if laparoscopic appendectomy can be considered safer and associated to better outcome. MATERIAL OF STUDY: A retrospective analysis of 175 patients has been carried out. Alvarado score, time of surgery, analgesic therapy and length of hospital stay calculated. Finally, postoperative complications were recorded. RESULTS: From January 2011 - April 2016 175 patients were enrolled: 128pts underwent laparoscopic technique and 47pts open technique. The average value of Alvarado score is lower in LA group than in OA group just as the average time of surgery and the use of post-operative analgesic therapy. DISCUSSION: LA has become the surgical technique mostly performed for the treatment of simple and complicated acute appendicitis. Our study shows that LA pts are younger with a statistically significant difference CONCLUSIONS: Most of the emergency appendectomies were performed via laparoscopic technique, especially in young patients. Laparoscopy is safer and associated to better outcome. KEY WORDS: Alvarado Score, Laparoscopic appendectomy, Open appendectomy.
