DOI: 10.36347/sasjs.2024.v10i07.012

Pages: 794-801

Background: Appendectomy, the surgical removal of the inflamed appendix, is a common emergency procedure with both laparoscopic and open approaches. In these procedures, surgeon experience may influence operative outcomes, including operative time and post-operative complications. Objective: This single-center prospective comparative analysis aimed to evaluate the influence of surgeon experience on operative time and post-operative complication rates in laparoscopic versus open appendectomy procedures. Method: This prospective comparative study included 20 cases of appendectomy conducted between June 2022 and June 2024 at the Department of Surgery, Parkview Medical College Hospital, Sylhet, were included in the study. Operative time and post-operative complication rates were compared between laparoscopic and open appendectomy groups. Result: The study included 9 (44.6%) males and 11 (55.4%) females within the age range of 18-65 years. Laparoscopic appendectomy demonstrated significantly shorter operative times compared to open appendectomy (49.3 min ± 15 min vs. 52.2 min ± 10 min). Moreover, the overall incidence of complications was significantly lower in the laparoscopic group compared to the open group. Specifically, laparoscopic appendectomy showed no complications, while open appendectomy resulted in minor complications such as superficial wound infection 2 (10%), deep wound infection 1 (5%), abnormal findings was twisted gangrenous ovarian cyst 2 (10%), twisted without gangrenous ovarian cyst 1 (5%), pelvic collection 1 (5%), additionally, the length of hospital stay was significantly shorter in the laparoscopic group (1.4 ± 0.6 days) compared to the open group (2.7 ± 2.5 days). These findings indicate that laparoscopic appendectomy offers quicker procedures, fewer complications, and shorter hospitalizations compared to traditional open appendectomy techniques. Conclusions: Surgeon experience significantly influences operative outcomes in both laparoscopic ...