Comment on the article about comparison of outcomes of laparoscopic and open appendectomy in management of uncomplicated and complicated appendicitis.
T he commendable multicenter study by Dr Tiwari et al1 focuses on the comparison of outcomes of laparoscopic and open appendectomy (OA) in management of uncomplicated and complicated appendicitis. The authors conclude that laparoscopic appendectomy (LA) is superior or comparable to OA in terms of several surgical outcome measures for both uncomplicated and complicated appendicitis, across most illness severity groups and so they recommend it as the preferred technique, irrespective of appendicitis diagnosis or disease severity. On the basis of our long-term experience,2 we would like to highlight certain issues regarding the possibility of percutaneous catheter drainage (PCD) as the treatment modality that can successfully solve acute perforated appendicitis in some patients. Authors specified that the study1 results have clearly demonstrated superiority of LA over OA, as it had shown to be a safe, efficacious, and cost-effective method for complicated (mostly perforated) and uncomplicated appendicitis.