Analysis of the results of laparoscopic and laparotomic appendectomies in the treatment of acute appendicitis

Introduction. The use of laparoscopic appendectomy in acute appendicitis in emergency surgery can improve treatment outcomes and save patients from traumatic laparotomy and related complications. The possibilities of expanding the indications for the use of endovideosurgical technology in the treatment of acute destructive complicated appendicitis have not been fully determined and need further investigation.

Aim. Comparative analysis of the results of treatment of patients with acute appendicitis and its complications using laparoscopic and laparotomy appendectomy in the conditions of MSE «Regional Clinical Hospital» of the Health Department of Karaganda region (Karaganda c., Republic of Kazakhstan).

Materials and methods. The study analyzed the medical histories of 404 patients operated on from 01.01.2020 to 31.12.2021 at MSE «Regional Clinical Hospital» of the Health Department of Karaganda region on the basis of the Department of Surgical Diseases of Karaganda Medical University NC JSC (Karaganda c., Republic of Kazakhstan).

Results and discussion. The results of appendectomies performed by laparoscopic access are analyzed and compared with the results of laparotomy operations for the same pathology. When comparing the results of laparoscopic and laparotomy appendectomy in patients with acute appendicitis, the following indicators were analyzed: the duration of surgery, the number of complications, and the average period of hospital stay.

Conclusions. The widespread use of endovideosurgical technology in the treatment of patients with acute appendicitis is a matter of time and shows that laparoscopic appendectomy has already become the gold standard for the treatment of almost all forms of acute appendicitis. As the results of our research have shown, laparoscopic appendectomy is the surgery of choice in patients with acute appendicitis, not only because of the good immediate results, but also because of the absence of further threatening postoperative complications.

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