J Minim Invasive Surg.  2013 Sep;16(3):69-73.

Comparative Analysis of Laparoscopic Versus Open Appendectomy for Perforated Appendicitis in Children Under 12 Years Old at a Single Institute

• Cho JH
• Park JS
• Kim ID
• Kim KH
• Suh BS
• Kim SW
• Lim HI
• Jung KH
• Jung BG

Abstract

PURPOSE
The purpose of this study is to evaluate the outcome of laparoscopic (LA) vs. open appendectomy (OA) in children under 12 years old with perforated appendicitis.
METHODS
We reviewed the medical files of 156 children who underwent LA (n=96), OA (n=59), and conversion (CO) (n=1), and compared duration of operation, length of hospital stay, incidence of wound infection, mechanical ileus, intra-abdominal abscess (IAA), and re-admission.
RESULTS
Compared to OA, LA resulted in longer duration of operation (58.32+/-17.105 min vs. 44.27+/-18.735 min; p=0.001), but fewer wound infections (2.1% vs. 10.2%; p=0.054), and fewer cases of mechanical ileus (0% vs. 5.1%; p=0.053). No differences in the length of hospital stay (5.85+/-1.824 days vs. 6.10+/-3.027 days; p=0.526), IAA (2.1% vs. 1.7%; p=1.000), or re-admissions (2.1% vs. 5.1%; p=0.369) were observed.
CONCLUSION
We report that although LA showed an association with longer duration of operation compared to OA, it is superior to OA with regard to incidence of wound infection and mechanical ileus.

Keyword

Perforated appendicitis; Children; Laparoscopic appendectomy; Open appendectomy; Complications

MeSH Terms

Abdominal Abscess
Appendectomy
Appendicitis
Child
Humans
Ileus
Incidence
Length of Stay
Wound Infection