Comparative Analysis of Laparoscopic Versus Open Appendectomy for Perforated Appendicitis in Children Under 12 Years Old at a Single Institute.
- Author:
Jun Ho CHO
1
;
Jin Soo PARK
;
Il Dong KIM
;
Ki Ho KIM
;
Byung Sun SUH
;
Sang Wook KIM
;
Hye In LIM
;
Kook Hyeon JUNG
;
Byeong Geon JUNG
Author Information
1. Department of Surgery, Daejin Medical Center, Bundang Jesaeng General Hospital, Seongnam, Korea.
- Publication Type:Original Article
- Keywords:
Perforated appendicitis;
Children;
Laparoscopic appendectomy;
Open appendectomy;
Complications
- MeSH:
Abdominal Abscess;
Appendectomy;
Appendicitis;
Child;
Humans;
Ileus;
Incidence;
Length of Stay;
Wound Infection
- From:Journal of Minimally Invasive Surgery
2013;16(3):69-73
- CountryRepublic of Korea
- Language:Korean
-
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.
