Comparación de la apendicectomía abierta vs apendicectomía laparoscópica en el servicio de emergencia del Hospital Teodoro Maldonado Carbo IESS período noviembre 2015 - 2016.

Abstract

Objective: To evaluate the advantages of laparoscopic appendicectomy versus open appendicectomy in patients undergoing acute appendicitis at emergency room in “Hospital Teodoro Maldonado Carbo” during the period November 2015-2016. Methodology: retrospective, random, observational and analytical study of patients treated in the emergency area, who underwent laparoscopic or conventional surgery by a process suggestive of acute appendicitis Results: data from 136 medical records were collected; which represent 9.69 % of the surgical procedures performed for the diagnosis of acute appendicitis (p=1403) in the aforementioned period; 50% were by laparoscopy and 50% by conventional approach. Patients undergoing laparoscopy had less surgical site infection (4.41%), short hospital stay (2.2 ± 1.72 days) and early social reinsertion (22 ± 3.73 days); while those operated by conventional approach had less surgical time (80.89 ± 19.98 minutes). Conclusions: Given the results of our study we conclude that there is a significant difference in the variables analyzed in fa vor of the laparoscopic versus the conventional technique.