Laparoscopic appendectomy for perforated appendicitis in children has complication rates comparable with those of open appendectomy

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• 作者：Mohammad Reza Vahdad ; ^{rvahdad@aol.com} ; Ralf-Bodo Troebs ^{ralf-bodo.troebs@marienhospital-herne.de} ; Matthias Nissen ^{matthias.nissen@marienhospital-herne.de} ; Lars Benjamin Burkhardt ^{lars.burkhardt@marienhospital-herne.de} ; Svenja Hardwig ^{svenja.hardwig@marienhospital-herne.de} ; Grigore Cernaianu ^{grigorec@hotmail.com}
• 关键词：Perforated appendicitis ; Children ; Laparoscopic appendectomy ; Open appendectomy ; Complications
• 刊名：Journal of Pediatric Surgery
• 出版年：2013
• 出版时间：March, 2013
• 年：2013
• 卷：48
• 期：3
• 页码：555-561
• 全文大小：490 K

文摘

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 ¡À 23.0 min vs. 77.7 ¡À 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.