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001). Total hospitalization costs were lower in the MOA group than those in the LA group (p0.001). No significant difference was found between the two groups concerning length of hospital stay and postoperative infectious complications (p=0.061 and p0.999, respectively). Mini-incision open appendectomy is a reliable method in patients with acute appendicitis who have a BMI of 30 and it is superior to laparoscopic appendectomy concerning the operation time, postoperative pain and cost. Mini-incision open appendectomy is a re