Must appendicitis be opened?

At the current medical level appendicitis is generally not recommended to open the abdomen, and the main surgical method is still laparoscopic appendectomy. Currently, laparoscopic surgery is a minimally invasive procedure with fast recovery and minimal damage, and is the recommended procedure. Open appendectomy is a more traditional means of treating appendicitis and is not very recommended at present. Open appendectomy of the appendix is only considered for patients with a history of repeated surgical procedures and appendiceal inflammation considering the formation of peri-abscesses, and for elderly and frail patients who cannot tolerate pneumoperitoneum. Laparoscopic surgery is relatively expensive because of the high pulmonary requirements and the need to establish a pneumoperitoneum, as well as general anesthesia. In contrast, open appendectomy is economical, but relatively more damaging and slower to recover.