Compare the clinical and postoperative outcomes: laparoscopic versus open surgery

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dc.contributor.authorBhandari, Vinoden_US
dc.contributor.authorBhandari, Mahaken_US
dc.date.accessioned2020-11-18T10:04:15Z
dc.date.available2020-11-18T10:04:15Z
dc.date.issued2020-03
dc.description.abstractBackground: To assess the several postoperative complications and clinical outcomes, a retrospective comparison between laparoscopic or open surgery was performed.Methods: We evaluated patients baseline characteristics clinical characteristics, perioperative, intraoperative, inflammatory stress markers and postoperative outcomes between the two groups by univariate analysis.Results: Total 73 patients’ data were included and divided into two groups. 38 patients in first group (laparoscopic surgery) and 35 patients in second group (open surgery). There were no statistically significance differences between gender, age, weight, body mass index and type of surgery of the patients (p>0.05). There was no significant difference between groups in history of infliximab, history of steroid usage, history of appendectomy and perianal disease (p>0.05). There was no significant difference between groups in total protein, albumin, hemoglobin, skeletal muscle mass and soft lean mass. Operative time, length of incision and blood loss was significantly (p<0.001) different in both groups, respectively. Total number of complications was less in the laparoscopic surgery; however, there was no statistically significant difference. Laparoscopic surgery can shorten the hospital stay by around one day. Patients had better postoperative outcomes after laparoscopic surgery than after open surgery. No significant difference was present in edema grades between groups preoperatively. More patients developed slight edema and edema in open surgery than in laparoscopic surgery on postoperative day (POD-3), but not on POD-5.Conclusions: Laparoscopic surgery has more benefits, safe and high-quality care and better postoperative clinical outcomes for all patients compared to open surgery.en_US
dc.identifier.affiliationsDepartment of General Surgery, Sri Aurobindo Medical college and P.G. Institute, Indore, Madhya Pradesh, Indiaen_US
dc.identifier.citationBhandari Vinod, Bhandari Mahak. Compare the clinical and postoperative outcomes: laparoscopic versus open surgery. International Surgery Journal. 2020 Mar; 7(3): 861-866en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/212876
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber3en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-2902.isj20200834en_US
dc.subjectClinical outcomesen_US
dc.subjectLaparoscopic surgeryen_US
dc.subjectOpen surgeryen_US
dc.subjectPostoperative complicationsen_US
dc.titleCompare the clinical and postoperative outcomes: laparoscopic versus open surgeryen_US
dc.typeJournal Articleen_US
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