Abstract
The acute appendicitis is still a common surgical emergency, but the most effective intervention between the traditional open appendectomy (OA) and laparoscopic appendectomy (LA) is still a controversial topic. This was a retrospective cohort study on 250 patients who were treated between March 2023 and March 2025 in tertiary care of Datia, Madhya Pradesh, with operations involving LA (n=155) and OA (n=95) and compared between them the operation time, hospitalization period, and cases of postoperative complications. LA was characterized by a greater length of operation but much shorter hospital stay, reduction of surgical-site infections and rapid functional recovery. The 24 hours pain scores were lower in the LA group. LA was more effective in terms of postoperative results, when treating the majority of acute appendicitis cases.