Laparoscopic assisted appendicectomy versus laparoscopic appendicectomy

Aim: to compare the mean duration of time in laparoscopic assisted appendectomy with laparoscopic appendectomy in patients of acute appendicitis. methods: this randomized controlled trial was conducted from july 2013 to december 2013 at dhq hospital faisalabad on 100 patients of acute appendicitis. either gender,acute appendicitis with swelling (inflammation) of the appendix with tenderness and rebound tenderness in rif with tlc >10,000 were included. patients with gangrenous appendix,organ due to interference of blood supply,perforated appendix,extreme obesity,with bmi >39,very thick mesentery and division of adhesion were excluded. they were divided in two groups; group a (laparoscopic assisted appendectomy) and group b (laparoscopic appendectomy). the appendectomy was performed as an open procedure. the appendix was tied and divided in two endo-loops with laparoscopic scissor. an extraction bag was used to remove it. results: the mean ages were 18.80±3.08 and 27.30±8.22 in group a and b. there were 11(22%) males and 39(78%) females in group a and 13(26%) were males and 37(74%) were females in group b. mean operating time in assisted laparoscopic appendicectomy group was significantly less when compared with laparoscopic appendicectomy (p<0.001). conclusion: the laparoscopic-assisted technique for appendicectomy incorporates the advantages of both the laparoscopic technique and the open technique.