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Outcome after intra- and extra-corporeal laparoscopic appendectomy techniques
S A Suttie1, S Seth, C P Driver
1Department of Paediatric Surgery, Royal Alexander Children's Hospital, Brighton, BN1 3JN, Scotland, United Kingdom.
Surgical Endoscopy
|May 25, 2004
Summary
The extracorporeal (EC) laparoscopic appendectomy technique is faster than the intracorporeal (IC) method, though it has a slightly higher complication rate. Both techniques are safe for treating acute appendicitis in children.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Laparoscopic appendectomy is a common procedure in pediatric surgery.
- Intracorporeal (IC) and extracorporeal (EC) techniques exist for laparoscopic appendectomy.
Purpose of the Study:
- To compare the outcomes of IC and EC laparoscopic appendectomy in children.
- To evaluate operative time, complications, and hospital stay for both techniques.
Main Methods:
- Retrospective review of 60 pediatric laparoscopic appendectomies (IC vs. EC) from 1997-2002.
- Data collected included operative technique, anesthetic time, complications, analgesic use, and hospital stay.
Main Results:
- Extracorporeal technique had a significantly shorter anesthetic time (50.7 min) compared to intracorporeal (67.8 min).
- No intraoperative complications occurred; one EC case converted to open surgery.
- Postoperative complications were similar, with two in the IC group and four in the EC group (including wound infections).
Conclusions:
- Extracorporeal laparoscopic appendectomy is faster but associated with a slightly higher complication rate.
- Both IC and EC laparoscopic appendectomy techniques are safe for acute appendicitis in pediatric patients.