Prospective evaluation of a primary laparoscopic approach for children presenting with simple or complicated appendicitis - 17/08/11
Corresponding author. Tel.: +1-303-861-6571; fax: +1-303-764-8077.Abstract |
Background |
Previous studies have suggested laparoscopy leads to an increased risk of postoperative intra-abdominal abscess formation in complicated appendicitis. The purpose of this study is to prospectively evaluate a standardized laparoscopic approach applied by a single surgeon for all children who present with appendicitis and to determine the postoperative outcome.
Methods |
Over a 5-year period (2001-2005), all children presenting to the author with simple or complicated appendicitis were approached laparoscopically and their preoperative workup, intraoperative findings, and postoperative outcomes recorded.
Results |
One hundred seventy-five consecutive laparoscopic appendectomies were performed with no open conversions. Mean patient age was 9 years. Sixty-seven patients (38%) presented with complicated appendicitis. The overall complication rate was 6% (9 children developed a postoperative intra-abdominal abscess or phlegmon and 2 had umbilical wound infections).
Conclusions |
When laparoscopic appendectomy is used as the primary technique, only 6% of patients experience infectious complications. Therefore, a laparoscopic approach to all children presenting with appendicitis does not lead to an increased complication rate.
Le texte complet de cet article est disponible en PDF.Keywords : Appendicitis, Children, Laparoscopy, Perforated appendicitis, Intra-abdominal abscess, Minimally invasive surgery
Plan
Vol 192 - N° 6
P. 750-755 - décembre 2006 Retour au numéro
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