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Original Article
Online Published: 22 Jan 2026
 


Comparisons of laparoscopic to open appendectomy for acute appendicitis in a tertiary center, Saudi Arabia

Maya A. Alharbi, Laura M. Damanhouri, Hanin M. Banjer, Hatoon A. Basharaheel, Hadeel A. Bakheet, Fatma K. Al Thoubaity.


Abstract
Background: Acute appendicitis (AA) is a common surgical emergency with multiple risks. The risk of post operative complications between laparoscopic appendectomy (LA) and open appendectomy (OA) remains controversial. This study examined patients with complicated appendicitis to clarify these differences.
Methods: A retrospective cohort study conducted at King Abdulaziz University Hospital KAUH, Jeddah, Saudi Arabia, included patients aged ≥14 years who underwent LA or OA for AA between 2012 and 2022. Electronic medical records were reviewed using demographic data (age, gender, nationality, body mass index, and smoking) and clinical/surgical information, including operative technique, preoperative imaging [ultrasound (US), computed tomography scan (CT), radiography (X-ray)], laboratory markers [(leukocytosis, C-reactive protein (CRP), bilirubin], American Society of Anesthesiologists score, appendicitis phase, operative time, infection type, hospital stay, follow-up, and postoperative complications (wound infection, abscess, ileus, and hernia).
Results: A total of 478 patients (mean age: 28.5 years) were included. Preoperative imaging included CT (80.6%), X-ray (26.4%), and US (18.9%). Laboratory findings revealed leukocytosis (57.7%) and elevated CRP (9.4%). LA was performed in 72.4% of cases, and OA in 27.6% of patients. Postoperative complications included abdominal pain or tenderness (10.4%) and nausea or vomiting (9.1%). No significant difference in complica tion rates was found between the LA and OA groups. LA was associated with shorter hospitalization and fewer readmissions, with no significant differences in wound infections or postoperative pain.
Conclusion: LA provides advantages in recovery and healthcare utilization with complications comparable to those of OA, supporting its use in managing complicated appendicitis.

Key words: Keywords: comparisons, laparoscopic, appendectomy, appendicitis, tertiary, Saudi.


 
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How to Cite this Article
Pubmed Style

Alharbi MA, Damanhouri LM, Banjer HM, Basharaheel HA, Bakheet HA, Thoubaity FKA. Comparisons of laparoscopic to open appendectomy for acute appendicitis in a tertiary center, Saudi Arabia. IJMDC. 2026; 10(2): 617-624. doi:10.24911/IJMDC.51-1764272013

Web Style

Alharbi MA, Damanhouri LM, Banjer HM, Basharaheel HA, Bakheet HA, Thoubaity FKA. Comparisons of laparoscopic to open appendectomy for acute appendicitis in a tertiary center, Saudi Arabia. https://www.ijmdc.com/?mno=299893 [Access: June 27, 2026]. doi:10.24911/IJMDC.51-1764272013

AMA (American Medical Association) Style

Alharbi MA, Damanhouri LM, Banjer HM, Basharaheel HA, Bakheet HA, Thoubaity FKA. Comparisons of laparoscopic to open appendectomy for acute appendicitis in a tertiary center, Saudi Arabia. IJMDC. 2026; 10(2): 617-624. doi:10.24911/IJMDC.51-1764272013


Vancouver/ICMJE Style

Alharbi MA, Damanhouri LM, Banjer HM, Basharaheel HA, Bakheet HA, Thoubaity FKA. Comparisons of laparoscopic to open appendectomy for acute appendicitis in a tertiary center, Saudi Arabia. IJMDC. (2026), [cited June 27, 2026]; 10(2): 617-624. doi:10.24911/IJMDC.51-1764272013


Harvard Style

Alharbi, M. A., Damanhouri, . L. M., Banjer, . H. M., Basharaheel, . H. A., Bakheet, . H. A. & Thoubaity, . F. K. A. (2026) Comparisons of laparoscopic to open appendectomy for acute appendicitis in a tertiary center, Saudi Arabia. IJMDC, 10 (2), 617-624. doi:10.24911/IJMDC.51-1764272013


Turabian Style

Alharbi, Maya A., Laura M. Damanhouri, Hanin M. Banjer, Hatoon A. Basharaheel, Hadeel A. Bakheet, and Fatma K. Al Thoubaity. 2026. Comparisons of laparoscopic to open appendectomy for acute appendicitis in a tertiary center, Saudi Arabia. International Journal of Medicine in Developing Countries, 10 (2), 617-624. doi:10.24911/IJMDC.51-1764272013


Chicago Style

Alharbi, Maya A., Laura M. Damanhouri, Hanin M. Banjer, Hatoon A. Basharaheel, Hadeel A. Bakheet, and Fatma K. Al Thoubaity. "Comparisons of laparoscopic to open appendectomy for acute appendicitis in a tertiary center, Saudi Arabia." International Journal of Medicine in Developing Countries 10 (2026), 617-624. doi:10.24911/IJMDC.51-1764272013


MLA (The Modern Language Association) Style

Alharbi, Maya A., Laura M. Damanhouri, Hanin M. Banjer, Hatoon A. Basharaheel, Hadeel A. Bakheet, and Fatma K. Al Thoubaity. "Comparisons of laparoscopic to open appendectomy for acute appendicitis in a tertiary center, Saudi Arabia." International Journal of Medicine in Developing Countries 10.2 (2026), 617-624. Print. doi:10.24911/IJMDC.51-1764272013


APA (American Psychological Association) Style

Alharbi, M. A., Damanhouri, . L. M., Banjer, . H. M., Basharaheel, . H. A., Bakheet, . H. A. & Thoubaity, . F. K. A. (2026) Comparisons of laparoscopic to open appendectomy for acute appendicitis in a tertiary center, Saudi Arabia. International Journal of Medicine in Developing Countries, 10 (2), 617-624. doi:10.24911/IJMDC.51-1764272013




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