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Comparative Analysis of Laparoscopic Versus Open Appendectomy for Perforated Appendicitis in Children Under 12 Years Old at a Single Institute
Journal of Minimally Invasive Surgery ; : 69-73, 2013.
Article in Korean | WPRIM | ID: wpr-57750
ABSTRACT

PURPOSE:

The purpose of this study is to evaluate the outcome of laparoscopic (LA) vs. open appendectomy (OA) in children under 12 years old with perforated appendicitis.

METHODS:

We reviewed the medical files of 156 children who underwent LA (n=96), OA (n=59), and conversion (CO) (n=1), and compared duration of operation, length of hospital stay, incidence of wound infection, mechanical ileus, intra-abdominal abscess (IAA), and re-admission.

RESULTS:

Compared to OA, LA resulted in longer duration of operation (58.32+/-17.105 min vs. 44.27+/-18.735 min; p=0.001), but fewer wound infections (2.1% vs. 10.2%; p=0.054), and fewer cases of mechanical ileus (0% vs. 5.1%; p=0.053). No differences in the length of hospital stay (5.85+/-1.824 days vs. 6.10+/-3.027 days; p=0.526), IAA (2.1% vs. 1.7%; p=1.000), or re-admissions (2.1% vs. 5.1%; p=0.369) were observed.

CONCLUSION:

We report that although LA showed an association with longer duration of operation compared to OA, it is superior to OA with regard to incidence of wound infection and mechanical ileus.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Appendectomy / Appendicitis / Wound Infection / Incidence / Abdominal Abscess / Ileus / Length of Stay Type of study: Incidence study / Prognostic study Limits: Child / Humans Language: Korean Journal: Journal of Minimally Invasive Surgery Year: 2013 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Appendectomy / Appendicitis / Wound Infection / Incidence / Abdominal Abscess / Ileus / Length of Stay Type of study: Incidence study / Prognostic study Limits: Child / Humans Language: Korean Journal: Journal of Minimally Invasive Surgery Year: 2013 Type: Article