A comparative study of laparoscopic treatment for complicated appendicitis in pediatric with and without abscess
10.3760/cma.j.cn113855-20240523-00380
- VernacularTitle:腹腔镜治疗小儿复杂性阑尾炎有无合并脓肿的对照研究
- Author:
Bingjie WANG
1
;
Minchao LIU
;
Zheng LI
;
Duxing XU
;
Wenyou CHEN
;
Lisheng CAI
Author Information
1. 福建医科大学附属漳州市医院普外科，漳州 363000
- Publication Type:Journal Article
- Keywords:
Appendicitis;
Abdominal abscess;
Appendectomy;
Laparoscopy
- From:
Chinese Journal of General Surgery
2025;40(9):714-719
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the safety and effectiveness of laparoscopic treatment for complicated appendicitis in children with and without abscess.Methods:A retrospective analysis was conducted on the clinical data of 363 patients with complicated appendicitis admitted to our department between May 2017 and Sep 2023. Patients were divided into two groups: the group without abscess and the group with abscess, comparing the surgical outcomes and incidence of postoperative complications between two groups.Results:As a result, all 277 cases in the non abscess group completed laparoscopic appendectomy, while all 86 cases in the periappendibular abscess group also completed laparoscopic appendectomy. The history of appendiceal abscess group was longer than that of the group without abscess [5(3-7) d vs. 2(1-3) d, Z=-11.59, P<0.05],the operation time was longer [86 (68-121) min vs. 63 (50-76) min, Z=-7.260, P<0.05], intraoperative bleeding was more [5(3-10) ml vs. 2(2-5) ml, Z=-7.010, P<0.001]. The incidence of postoperative complications was higher in the appendiceal abscess group, with a postoperative abdominal abscess rate of 11.1%,compared to 6.9% ( χ2=1.656, P=0.198), and the incision infection rate of 4.9%,compared to 4.0% ( χ2=0.008, P=0.930), the intestinal obstruction rate was 4.9%,compared to 3.2%, ( χ2=0.158, P=0.691), the intestinal injury rate was 1.3% ,compared to 0,( P=0.226). Conclusions:Laparoscopic appendectomy for periappendiceal abscess in children was safe and effective, especially for patients with a medical history of less than 7 d.
