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Laparoscopic or Open Appendectomy for Pediatric Appendicitis?

Elofsson, Axel; Gemryd, Eric; Arnbjörnsson, Einar LU and Salö, Martin LU (2016) In MOJ Surgery 3(1).
Abstract
Background: This study aimed to compare open appendectomy (OA) and laparoscopic appendectomy (LA) in children by analyzing the differences in outcomes between the two techniques. Materials and Methods: This was a single-institution retrospective study. Data were collected from the medical records of all children <15 years of age who underwent an appendectomy from 2006 through 2014. Preoperative parameters, appendicitis severity, surgery time, complications, pain treatment, and postoperative outcome including days of hospital stay were collected. LA was performed with a two- or three-port technique, and a McBurney incision was adopted for OA. Conversions were regarded as OA. Results: A total of 406 appendectomies were performed during... (More)
Background: This study aimed to compare open appendectomy (OA) and laparoscopic appendectomy (LA) in children by analyzing the differences in outcomes between the two techniques. Materials and Methods: This was a single-institution retrospective study. Data were collected from the medical records of all children <15 years of age who underwent an appendectomy from 2006 through 2014. Preoperative parameters, appendicitis severity, surgery time, complications, pain treatment, and postoperative outcome including days of hospital stay were collected. LA was performed with a two- or three-port technique, and a McBurney incision was adopted for OA. Conversions were regarded as OA. Results: A total of 406 appendectomies were performed during the study period, 146 (36%) OA (61 conversions) and 260 (64%) LA. No differences were found between the two groups regarding surgery time, operative and postoperative complications, and postoperative pain treatment. In cases of Phlegmonous appendicitis, LA was associated with a significantly shorter median hospital stay than was OA (1 and 1.8 days, respectively; p < 0.01). Healthy and Phlegmonous appendices were more commonly treated with LA (p < 0.01 for both); gangrenous, perforated, and abscessed appendices were more commonly treated with open surgery (p = 0.02, p < 0.01, and p < 0.01, respectively). Conclusion: The study identified no disadvantages of LA compared with OA. Therefore, LA should be the preferred technique because it is associated (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Appendicitis, Appendectomy, Children, Laparoscopy, Open surgery
in
MOJ Surgery
volume
3
issue
1
publisher
MedCrave
ISSN
2379-6162
DOI
10.15406/mojs.2016.03.00032
language
English
LU publication?
yes
id
b16287fb-5295-437d-98de-c075d6efbff3 (old id 8611173)
date added to LUP
2016-02-15 13:28:46
date last changed
2016-04-16 02:05:40
@article{b16287fb-5295-437d-98de-c075d6efbff3,
  abstract     = {Background: This study aimed to compare open appendectomy (OA) and laparoscopic appendectomy (LA) in children by analyzing the differences in outcomes between the two techniques. Materials and Methods: This was a single-institution retrospective study. Data were collected from the medical records of all children &lt;15 years of age who underwent an appendectomy from 2006 through 2014. Preoperative parameters, appendicitis severity, surgery time, complications, pain treatment, and postoperative outcome including days of hospital stay were collected. LA was performed with a two- or three-port technique, and a McBurney incision was adopted for OA. Conversions were regarded as OA. Results: A total of 406 appendectomies were performed during the study period, 146 (36%) OA (61 conversions) and 260 (64%) LA. No differences were found between the two groups regarding surgery time, operative and postoperative complications, and postoperative pain treatment. In cases of Phlegmonous appendicitis, LA was associated with a significantly shorter median hospital stay than was OA (1 and 1.8 days, respectively; p &lt; 0.01). Healthy and Phlegmonous appendices were more commonly treated with LA (p &lt; 0.01 for both); gangrenous, perforated, and abscessed appendices were more commonly treated with open surgery (p = 0.02, p &lt; 0.01, and p &lt; 0.01, respectively). Conclusion: The study identified no disadvantages of LA compared with OA. Therefore, LA should be the preferred technique because it is associated},
  author       = {Elofsson, Axel and Gemryd, Eric and Arnbjörnsson, Einar and Salö, Martin},
  issn         = {2379-6162},
  keyword      = {Appendicitis,Appendectomy,Children,Laparoscopy,Open surgery},
  language     = {eng},
  number       = {1},
  publisher    = {MedCrave},
  series       = {MOJ Surgery},
  title        = {Laparoscopic or Open Appendectomy for Pediatric Appendicitis?},
  url          = {http://dx.doi.org/10.15406/mojs.2016.03.00032},
  volume       = {3},
  year         = {2016},
}