The Adequacy of Laparoscopic Appendectomy for Simple and Perforated Appendicitis in Children.
- Author:
Mee Ra KIM
1
;
Jae Hee CHUNG
;
Eung Kook KIM
;
Young Tack SONG
Author Information
1. Department of Surgery, College of Medicine, the Catholic University of Korea, Seoul, Korea. ytong@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Laparoscopic appendectomy;
Appendicitis;
Simple;
Perforated;
Children
- MeSH:
Appendectomy*;
Appendicitis*;
Child*;
Diet;
Emergencies;
Humans;
Length of Stay;
Operative Time;
Postoperative Complications
- From:Journal of the Korean Association of Pediatric Surgeons
2004;10(2):127-130
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Appendectomy is the most common emergency surgical operation in children. The laparoscopic treatment of pediatric appendicitis is controversial, particularly in complicated cases. The purpose of this study is to evaluate laparoscopic appendectomy (LA) and open appendectomy (OA) for simple and perforated appendicitis (SA, PA) in children. A total of 188 patients, operated from January 1992 to September 2003, were reviewed. Ninety-one patients underwent OA (65 SA and 26 PA) and 97 had LA ( 67 SA, 30 PA). There was one conversion of LA to OA in PA. Operative time for LA was longer for OA in PA (55.8 vs. 45.7 min; p=0.0467). Recovery of bowel movement, diet starting time, length of hospital stay for LA were significantly shorter than those for OA. Postoperative complication rate was not different between LA and OA in each group. Laparoscopic appendectomy is a safe and effective method for both simple and perforated appendicitis.
