Abstract
Objective
To compare the outcomes of treatment in children with acute appendicitis between laparoscopic and open surgical approaches.
Design
Retrospective study.
Setting
Division of Pediatric Surgery at a tertiary-care hospital in Croatia between January 2012 to December 2016.
Patients
834 children [median (IQR) age 13 (11,15)] who underwent appendectomy; 301 in the laparoscopic group and 533 in the open group.
Main outcome measures
Postoperative complications, duration of hospitalization, re-operation, and the quantity of analgesics used.
Results
The median length of hospital stay was 3 days in laparoscopic group compared to 6 days in open group (P<0.001). The amount of analgesics used was lower in patients with laparoscopic appendectomy compared to patients who underwent open procedure (P=0.042). Significantly higher number of wound infections was recorded in the open group (n=21; 3.9%) compared to laparoscopic group (n=3; 1%) (P=0.014). The frequency of re-operation in both groups was equal (1.3%). The median duration of surgery was shorter in the group of patients with laparoscopic appendectomy compared to the open approach (30 vs. 45 min; P<0.001). In five-year period, the proportion of laparoscopic appendectomies increased by 21.5%.
Conclusion
Laparoscopic appendectomy was safe and effective in children. Advantages of laparoscopic approach were shorter hospital stay, lower number of wound infections and lower usage of analgesics.
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Pogorelic, Z., Buljubasic, M., Susnjar, T. et al. Comparison of Open and Laparoscopic Appendectomy in Children: A 5-year Single Center Experience. Indian Pediatr 56, 299–303 (2019). https://doi.org/10.1007/s13312-019-1518-2
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DOI: https://doi.org/10.1007/s13312-019-1518-2