Affordable Access

Laparoscopic Appendectomy in Patients With a Body Mass Index of 25 or Greater: Results of a Double Blind, Prospective, Randomized Trial

JSLS Journal of the Society of Laparoendoscopic Surgeons
The Society of Laparoendoscopic Surgeons
Publication Date
  • Scientific Papers


Background: The reported advantages of the laparoscopic approach to appendectomy are shortened hospital stay, less postoperative pain, and earlier return to usual activities (work). However, a prospective, randomized, double-blind trial comparing laparoscopic appendectomy with open appendectomy in active-duty males failed to disclose a benefit of laparoscopic appendectomy with regards to postoperative pain and return to work. The aim of our study was to compare open and laparoscopic appendectomy in overweight patients. Methods: We conducted a prospective, randomized, double-blind study to determine whether laparoscopic appendectomy or the open procedure in overweight patients offers a significant reduction in lost workdays, postoperative pain, or operative time from. Open appendectomy in overweight patients (those with a body mass index ≥25) may be more difficult due to excessive sub-cutaneous adipose tissue. The open incision may be of considerable size, which may result in increased postoperative pain and a prolonged convalescence. Results: There was a statistically significant increase in operative time for laparoscopic appendectomy of 11 minutes. As expected, the aggregate incision length for open appendectomy was twice that of the laparoscopic appendectomy. Conclusion: The data from this prospective, randomized, double-blind study failed to demonstrate any significant reduction in lost workdays, postoperative pain, or operative time with laparoscopic appendectomy.

There are no comments yet on this publication. Be the first to share your thoughts.


Seen 107 times