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Updated: Jul 23, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

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Laparoscopic appendectomy in children.

Abdulrahman A Al-Bassam¹

¹Department of Surgery, King Khalid University Hospital, PO Box 86572, Riyadh 11632, Kingdom of Saudi Arabia. abassam@ksu.edu.sa

Saudi Medical Journal

|May 19, 2005

Summary

Laparoscopic appendectomy (LA) is safe and effective for uncomplicated appendicitis in children. For complicated cases, LA requires caution due to higher conversion and complication rates.

Area of Science:

Pediatric Surgery
Minimally Invasive Surgery
Gastrointestinal Surgery

Background:

Laparoscopic appendectomy (LA) is increasingly used for pediatric appendicitis.
Open appendectomy has been the traditional treatment.
Evaluating LA's efficacy and safety in children is crucial.

Purpose of the Study:

To assess the efficacy and safety of laparoscopic appendectomy in children.
To analyze complications associated with LA in pediatric patients.
To compare outcomes for uncomplicated versus complicated appendicitis.

Main Methods:

Critical review of pediatric patients undergoing LA from January 1999 to May 2003.
Analysis of demographic data, operative details, and histopathology.

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Evaluation of operative time, hospital stay, analgesia, and complications.

Main Results:

LA was successfully completed in 100 of 113 children.
15 patients had complicated appendicitis, with 13% requiring conversion to open surgery.
Postoperative complications occurred in 4 patients with complicated appendicitis.

Conclusions:

Laparoscopic appendectomy is a safe and effective treatment for uncomplicated appendicitis in children.
LA for complicated appendicitis necessitates caution and experienced surgical handling.
Higher conversion and complication rates are noted for complicated pediatric appendicitis treated with LA.