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Related Experiment Video

Updated: Jul 14, 2026

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
05:06

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Published on: March 27, 2026

Laparoscopic appendectomy in children after the learning curve.

Douglas York1, Angela Smith, Daniel von Allmen

  • 1Division of Pediatric Surgery, Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina 27599, USA.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|June 20, 2007
PubMed
Summary

Laparoscopic appendectomy (LA) in children, after the learning curve, offers faster recovery and shorter hospital stays compared to open appendectomy (OA). Outcomes like complication rates remain similar between the two surgical approaches.

Related Experiment Videos

Last Updated: Jul 14, 2026

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
05:06

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Published on: March 27, 2026

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Laparoscopic appendectomy (LA) is increasingly popular for pediatric appendicitis.
  • Previous studies comparing LA and open appendectomy (OA) in children have yielded mixed results, often influenced by surgeon experience.
  • This study addresses outcomes after surgeons have completed the learning curve for LA.

Purpose of the Study:

  • To evaluate the outcomes of pediatric appendectomy in patients managed by experienced laparoscopic surgeons.
  • To compare laparoscopic appendectomy (LA) with open appendectomy (OA) in terms of operative time, length of stay, and recovery.
  • To assess complication rates and return to normal function for both procedures.

Main Methods:

  • Retrospective review of 197 consecutive pediatric appendectomy cases (January 2002 - May 2004).
  • Patients were managed by pediatric and general surgeons with extensive laparoscopic experience.
  • Data collected included operative time, length of stay (LOS), return to diet, complication rates, and need for IV antibiotics/opiates.

Main Results:

  • Laparoscopic appendectomy (LA) resulted in a faster return to full diet (17.6 vs. 28.6 hours) and shorter postoperative length of stay (LOS) (1.06 vs. 1.66 days) compared to open appendectomy (OA).
  • Operative times were similar for uncomplicated appendicitis (47 min for LA vs. 48 min for OA).
  • Complication rates, IV antibiotic, and opiate use were comparable between LA and OA groups for both uncomplicated and complicated appendicitis.

Conclusions:

  • After the learning curve, laparoscopic appendectomy (LA) is associated with decreased postoperative LOS and faster return to normal bowel function compared to open appendectomy (OA) in children.
  • Operative times are comparable between LA and OA for uncomplicated appendicitis.
  • LA is a safe and effective alternative to OA in experienced hands for pediatric appendicitis.