Pediatric advanced appendicitis: open versus laparoscopic approach
Optimal surgical approach for advanced pediatric appendicectomy remains controversial. We compare the open versus the laparoscopic approach. Retrospective case notes review of children operated on for advanced appendicitis between January 2005 and July 2006 was undertaken for length of hospital stay...
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| Vydané v: | Surgical laparoscopy, endoscopy & percutaneous techniques Ročník 19; číslo 2; s. 110 |
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| Hlavní autori: | , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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United States
01.04.2009
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| ISSN: | 1534-4908, 1534-4908 |
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| Abstract | Optimal surgical approach for advanced pediatric appendicectomy remains controversial. We compare the open versus the laparoscopic approach.
Retrospective case notes review of children operated on for advanced appendicitis between January 2005 and July 2006 was undertaken for length of hospital stay, operating time, wound complications, need for further surgery, and hospital readmission.
Forty children were included, 17 were treated with open approach and 23 with laparoscopic approach. There was no conversion from laparoscopic to open approach. Overall complication rate, length of hospital stay, and need for further surgery were similar in both groups. The mean operative time was longer in the laparoscopic group. Wound complications occurred more in the open group. Readmission for gastrointestinal obstruction was noted in the laparoscopic group.
Laparoscopic approach is safe for advanced appendicitis in children. The outcomes are comparable in both study groups. |
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| AbstractList | Optimal surgical approach for advanced pediatric appendicectomy remains controversial. We compare the open versus the laparoscopic approach.PURPOSEOptimal surgical approach for advanced pediatric appendicectomy remains controversial. We compare the open versus the laparoscopic approach.Retrospective case notes review of children operated on for advanced appendicitis between January 2005 and July 2006 was undertaken for length of hospital stay, operating time, wound complications, need for further surgery, and hospital readmission.METHODSRetrospective case notes review of children operated on for advanced appendicitis between January 2005 and July 2006 was undertaken for length of hospital stay, operating time, wound complications, need for further surgery, and hospital readmission.Forty children were included, 17 were treated with open approach and 23 with laparoscopic approach. There was no conversion from laparoscopic to open approach. Overall complication rate, length of hospital stay, and need for further surgery were similar in both groups. The mean operative time was longer in the laparoscopic group. Wound complications occurred more in the open group. Readmission for gastrointestinal obstruction was noted in the laparoscopic group.RESULTSForty children were included, 17 were treated with open approach and 23 with laparoscopic approach. There was no conversion from laparoscopic to open approach. Overall complication rate, length of hospital stay, and need for further surgery were similar in both groups. The mean operative time was longer in the laparoscopic group. Wound complications occurred more in the open group. Readmission for gastrointestinal obstruction was noted in the laparoscopic group.Laparoscopic approach is safe for advanced appendicitis in children. The outcomes are comparable in both study groups.CONCLUSIONSLaparoscopic approach is safe for advanced appendicitis in children. The outcomes are comparable in both study groups. Optimal surgical approach for advanced pediatric appendicectomy remains controversial. We compare the open versus the laparoscopic approach. Retrospective case notes review of children operated on for advanced appendicitis between January 2005 and July 2006 was undertaken for length of hospital stay, operating time, wound complications, need for further surgery, and hospital readmission. Forty children were included, 17 were treated with open approach and 23 with laparoscopic approach. There was no conversion from laparoscopic to open approach. Overall complication rate, length of hospital stay, and need for further surgery were similar in both groups. The mean operative time was longer in the laparoscopic group. Wound complications occurred more in the open group. Readmission for gastrointestinal obstruction was noted in the laparoscopic group. Laparoscopic approach is safe for advanced appendicitis in children. The outcomes are comparable in both study groups. |
| Author | Mathur, Azad B Minocha, Ashish Kulkarni, Milind Swindells, Mark G Pahl, Karoline Tsang, Thomas Nwokoma, Ngozi Joy |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/19390275$$D View this record in MEDLINE/PubMed |
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| Snippet | Optimal surgical approach for advanced pediatric appendicectomy remains controversial. We compare the open versus the laparoscopic approach.
Retrospective case... Optimal surgical approach for advanced pediatric appendicectomy remains controversial. We compare the open versus the laparoscopic approach.PURPOSEOptimal... |
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| SubjectTerms | Adolescent Age Factors Appendectomy - instrumentation Appendectomy - methods Appendicitis - surgery Child Child Welfare Child, Preschool Endoscopy, Gastrointestinal Female Humans Length of Stay Male Postoperative Period Retrospective Studies United Kingdom Young Adult |
| Title | Pediatric advanced appendicitis: open versus laparoscopic approach |
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