AI Article Synopsis
- The study aimed to compare laparoscopic appendectomy (LA) and open appendectomy (OA) outcomes in children with perforated appendicitis.
- findings showed that LA led to significantly lower rates of re-admissions, re-operations, and wound infections compared to OA.
- There were no notable differences in operation duration or intra-abdominal abscess rates, but conversion from LA resulted in more complications.
Article Abstract
Purpose: To evaluate the outcome of laparoscopic (LA) vs. open appendectomy (OA) in children with perforated appendicitis (PA).
Methods: We reviewed the medical files of 221 children who underwent LA (n=75), OA (n=122), and conversion (CO) (n=24), comparing duration of operation, re-admissions, re-operations, intra-abdominal abscesses (IAA), and wound infections.
Results: Compared to OA, LA resulted in fewer re-admissions (1.3% vs. 12.3%; P=.006), fewer re-operations (4% vs. 17.2%; P=.006), and fewer wound infections (0% vs. 11.5%; P=.001). No differences in the duration of operation (72.9 ± 23.0 min vs. 77.7 ± 48.0 min; P=.392) or IAA (4% vs. 11.5%; P=.114) were observed. Compared to LA, CO had more complications.
Conclusions: We report that LA is superior to OA with regard to incidence of re-admission, re-operation, and wound infection.
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| http://dx.doi.org/10.1016/j.jpedsurg.2012.07.066 | DOI Listing |
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