Laparoscopic appendectomy in children with perforated appendicitis

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Evan P NadlerTimothy D Kane

Abstract

There is persistent controversy regarding the optimal surgical therapy for children with appendicitis. We have recently adopted laparoscopic appendectomy in lieu of the open technique for children with perforated appendicitis. We hypothesized that laparoscopic appendectomy would be as effective as open appendectomy in preventing postoperative complications. We reviewed the medical records of children admitted to our hospital over a 5-year period with the diagnosis of perforated appendicitis. Patients were divided into two groups based on the operative approach: laparoscopic vs. open appendectomy. Demographic data, duration of presenting symptoms, initial white blood cell (WBC) count, length of stay, and complications were abstracted. Data were compared using appropriate statistical analyses. There was no difference between the laparoscopic (n = 43) and open (n = 77) groups with respect to gender, duration of presenting symptoms, initial WBC, or length of stay. However, patients in the laparoscopic group had a significantly lower complication rate than those in the open group (6/43 vs. 23/77, P = 0.05). Infectious complications were no different between groups. Patients in the laparoscopic group tended to be older than patients ...Continue Reading

References

Jun 29, 2000·Journal of Pediatric Surgery·S J FishmanE J O'Rourke
Feb 22, 2003·Journal of the American College of Surgeons·Catherine ChenSusan K Parsons
Oct 25, 2003·Journal of Pediatric Surgery·D E MeierR Seetharamaiah
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Citations

Jan 17, 2008·Pediatric Surgery International·J GillickP Puri
Sep 5, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ramesh M NatarajaMunther J Haddad
Jun 22, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Sheraz R MarkarAdrian Harris
Aug 8, 2009·African Journal of Paediatric Surgery : AJPS·Abhaya R GuptaS V Parelkar
Jun 28, 2011·The Journal of Surgical Research·Tolulope A OyetunjiTerrence M Fullum
Jun 15, 2007·Journal of Pediatric Surgery·Charles J AprahamianCarroll M Harmon
Sep 16, 2008·The Surgical Clinics of North America·Emily T Durkin, Aimen F Shaaban

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