Page 9 - World Journal of Laparoscopic Surgeons

WJOLS

Laparoscopic Appendectomy for Perforated Appendicitis in Children
retrospective study was 1.2%. In our study, we used a REFERENCES
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Jen et al reported the incidence of postoperative abscess scopic versus conventional appendectomy–a meta-analysis
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with gas insufflations. 2,6,17,18 But in contrast, other studies Cameron B. Ten-year experience with pediatric laparoscopic
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concluded that LA is safer or equivalent 4,9,19,20,22 to OA appendectomy–are we getting better? J Pediatr Surg 2005
regarding the intraabdominal abscess formation. In our May;40(5):842-845.
study, the incidence of postoperative abscess formation 9. Canty TG Sr, Collins D, Losasso B, Lynch F, Brown C. Laparo-
was much more common in the OA; it was 2.5% in LA scopic appendectomy for simple and perforated appendicitis
and 14.6% in OA (p < 0.05). This improvement is due to in children: the procedure of choice? J Pediatr Surg 2000
Nov;35(11):1582-1585.
the ability to visualize the whole abdominal cavity and 10. Esposito C, Borzi P, Valla JS, Mekki M, Nouri A, Becmeur F,
perform proper peritoneal lavage and proper suction of Allal H, Settimi A, Shier F, Sabin MG, et al. Laparoscopic versus
the infected fluid. The risk of prolonged ileus and bowel open appendectomy in children: a retrospective comparative
obstruction ranges from 0.2 to 1.2%. 9,21,23,24 In our study study of 2332 cases. World J Surg 2007 Apr;31(4):750-755.
adhesive intestinal obstruction occur in one patient in 11. Zhang Z, Wang Y, Liu R, Zhao L, Liu H, Zhang J, Li G. Sys-
OA group and no one in the LA group. tematic review and meta-analysis of single incision versus
conventional laparoscopic appendectomy in children. J
In our study, the length of hospitalization was Pediatr Surg 2015 Sep;50(9):1600-1609.
decreased in the LA group, which is related to less pain, 12. St Peter SD, Adibe OO, Juang D, Sharp SW, Garey CL,
quicker ambulation, and early start of oral feeding, and Laituri CA, Murphy JP, Andrews WS, Sharp RJ, Snyder CL,
fewer complications, less pain as the muscle cutting et al. Single incision versus standard 3-port laparoscopic
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muscle stretching port insertion. This also has been 13. Marzouk M, Khater M, Elsadek M, Abdelmoghny A. Laparo-
scopic versus open appendectomy: a prospective comparative
4
reported by several studies. In this study, OA patients study of 227 patients. Surg Endosc 2003 May;17(5):721-724.
had significantly more postoperative clinic visits than LA 14. Yau KK, Siu WT, Tang CN, Yang GP, Li MK. Laparoscopic
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patients. Similar finding was also noticed by Taqi et al versus open appendectomy for complicated appendicitis. J
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and Muncini et al and this was mainly related to Am Coll Surg 2007 Jul;205(1):60-65.
recurrent abdominal pain and follow-up for the infected 15. Katkhouda N, Mason RJ, Towfigh S, Gevorgyan A, Essani R.
wound. 10,13 Laparoscopic versus open appendectomy: a prospective
randomized double-blind study. Ann Surg 2005 Sep;242(3):
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CONCLUSION 16. Jen HC, Shew SB. Laparoscopic versus open appendectomy
In our study, we showed that LA for perforated appen- in children: outcomes comparison based on a statewide
analysis. J Surg Res 2010 Jun;161(1):13-17.
dicitis in children can be performed safely with a low 17. Bennett J, Boddy A, Rhodes M. Choice of approach for
incidence of complications and it offers children faster appendicectomy: a meta-analysis of open versus laparoscopic
recovery; so, we recommend LA in all cases of compli- appendicectomy. Surg Laparosc Endosc Percutan Tech 2007
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World Journal of Laparoscopic Surgery, January-April 2018;11(1):1-4 3