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2025, Vol: 9, Issue: 9
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Review Article
Online Published: 31 Dec 2024
 


Comparative outcomes of laparoscopic versus open surgery for appendicitis in young adults: a systematic review

Amal Ahmed Almuhaini, Zahra Ahmed Alodayli, Aqelah Abdullah Boshamla, Zahra Ali Bukhader, Duaa Habib Abudrees, Zainab Khalil Alghasham.


Abstract
Appendectomy is a common surgical procedure performed to treat acute appendicitis, with two primary approaches: laparoscopic appendectomy (LA) and open appendectomy (OA). While both methods are widely utilized, there is ongoing debate about their relative efficacy, safety, and cost-effectiveness. This study aimed to compare the clinical outcomes, complications, recovery parameters, and cost-effectiveness of LA and OA to determine the optimal surgical approach. This study systematically reviewed 13 studies published between the years 2016 and 2024, encompassing prospective, retrospective, and interventional designs. A total of 2,490 patients (1396 underwent OA, and 1094 underwent LA) were included. Data on operative time, com plications, recovery parameters, and cost were extracted and analyzed, with a meta-analysis conducted to evaluate differences between LA and OA. The meta-analysis revealed that LA was associated with a longer operative time compared to OA, with a mean difference of 9.57 minutes (p-value = 0.067), though this was not statistically significant. LA demonstrated a significantly lower prevalence of wound infection, with a prevalence ratio of 0.241 (p-value = 0.001). Hospital stay duration was significantly reduced in LA, with a mean difference of −0.618 days (p-value = 0.001), and patients undergoing LA returned to normal activities much faster, with a mean difference of −5.405 days (p-value = 0.001). Although certain patient factors and clinical scenarios might necessitate OA, LA should be the preferred surgical method in most cases due to its favorable outcomes. Future studies are recommended to explore long-term outcomes and refine patient selection criteria for both approaches.

Key words: Comparative outcomes, laparoscopic, open surgery, appendicitis, systematic review


 
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How to Cite this Article
Pubmed Style

Almuhaini AA, Alodayli ZA, Boshamla AA, Bukhader ZA, Abudrees DH, Alghasham ZK. Comparative outcomes of laparoscopic versus open surgery for appendicitis in young adults: a systematic review. IJMDC. 2024; 8(12): 3754-3763. doi:10.24911/IJMDC.51-1733574937

Web Style

Almuhaini AA, Alodayli ZA, Boshamla AA, Bukhader ZA, Abudrees DH, Alghasham ZK. Comparative outcomes of laparoscopic versus open surgery for appendicitis in young adults: a systematic review. https://www.ijmdc.com/?mno=232002 [Access: October 14, 2025]. doi:10.24911/IJMDC.51-1733574937

AMA (American Medical Association) Style

Almuhaini AA, Alodayli ZA, Boshamla AA, Bukhader ZA, Abudrees DH, Alghasham ZK. Comparative outcomes of laparoscopic versus open surgery for appendicitis in young adults: a systematic review. IJMDC. 2024; 8(12): 3754-3763. doi:10.24911/IJMDC.51-1733574937


Vancouver/ICMJE Style

Almuhaini AA, Alodayli ZA, Boshamla AA, Bukhader ZA, Abudrees DH, Alghasham ZK. Comparative outcomes of laparoscopic versus open surgery for appendicitis in young adults: a systematic review. IJMDC. (2024), [cited October 14, 2025]; 8(12): 3754-3763. doi:10.24911/IJMDC.51-1733574937


Harvard Style

Almuhaini, A. A., Alodayli, . Z. A., Boshamla, . A. A., Bukhader, . Z. A., Abudrees, . D. H. & Alghasham, . Z. K. (2024) Comparative outcomes of laparoscopic versus open surgery for appendicitis in young adults: a systematic review. IJMDC, 8 (12), 3754-3763. doi:10.24911/IJMDC.51-1733574937


Turabian Style

Almuhaini, Amal Ahmed, Zahra Ahmed Alodayli, Aqelah Abdullah Boshamla, Zahra Ali Bukhader, Duaa Habib Abudrees, and Zainab Khalil Alghasham. 2024. Comparative outcomes of laparoscopic versus open surgery for appendicitis in young adults: a systematic review. International Journal of Medicine in Developing Countries, 8 (12), 3754-3763. doi:10.24911/IJMDC.51-1733574937


Chicago Style

Almuhaini, Amal Ahmed, Zahra Ahmed Alodayli, Aqelah Abdullah Boshamla, Zahra Ali Bukhader, Duaa Habib Abudrees, and Zainab Khalil Alghasham. "Comparative outcomes of laparoscopic versus open surgery for appendicitis in young adults: a systematic review." International Journal of Medicine in Developing Countries 8 (2024), 3754-3763. doi:10.24911/IJMDC.51-1733574937


MLA (The Modern Language Association) Style

Almuhaini, Amal Ahmed, Zahra Ahmed Alodayli, Aqelah Abdullah Boshamla, Zahra Ali Bukhader, Duaa Habib Abudrees, and Zainab Khalil Alghasham. "Comparative outcomes of laparoscopic versus open surgery for appendicitis in young adults: a systematic review." International Journal of Medicine in Developing Countries 8.12 (2024), 3754-3763. Print. doi:10.24911/IJMDC.51-1733574937


APA (American Psychological Association) Style

Almuhaini, A. A., Alodayli, . Z. A., Boshamla, . A. A., Bukhader, . Z. A., Abudrees, . D. H. & Alghasham, . Z. K. (2024) Comparative outcomes of laparoscopic versus open surgery for appendicitis in young adults: a systematic review. International Journal of Medicine in Developing Countries, 8 (12), 3754-3763. doi:10.24911/IJMDC.51-1733574937




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