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Outcome of laparoscopic appendectomy for perforated appendicitis in children

Esmaeel Taqi1, Sulaiman Al Hadher, Jon Ryckman

  • 1Division of Pediatric General Surgery, The Montreal Children's Hospital, McGill University Health Centre, Montreal, QC, Canada H3H 1P3.

Journal of Pediatric Surgery
|May 20, 2008
PubMed

Insights

Laparoscopic appendectomy (LA) is safe and effective for perforated appendicitis, showing shorter hospital stays and fewer infections than open appendectomy (OA). This approach also reduces the need for follow-up visits.

Area of Science:

  • Surgical Innovation
  • Pediatric Surgery
  • Gastrointestinal Surgery

Background:

  • Perforated appendicitis presents significant surgical challenges.
  • Comparing laparoscopic appendectomy (LA) with open appendectomy (OA) is crucial for optimizing patient outcomes.

Purpose of the Study:

  • To evaluate the outcomes of laparoscopic appendectomy (LA) versus open appendectomy (OA) in patients diagnosed with perforated appendicitis.
  • To compare key metrics including operative time, length of stay, and complication rates between the two surgical approaches.

Main Methods:

  • A retrospective review of 281 patients with perforated appendicitis treated between July 2002 and April 2007.
  • Comparison of demographics, operative time, length of stay (LOS), infectious complications, and follow-up between OA (n=213) and LA (n=68) groups.

Main Results:

  • LA patients were older and heavier, with a higher proportion of girls.
  • LA had a longer mean operative time (72.6 vs 50.2 min) but a shorter median LOS (5 vs 6 days).
  • LA demonstrated significantly fewer wound infections (1.5% vs 9.5%) and reduced need for follow-up visits (4.5% vs 16.4%).

Conclusions:

  • Laparoscopic appendectomy offers a shorter median LOS and fewer complications compared to open appendectomy for perforated appendicitis.
  • LA is a safe and effective alternative, associated with decreased infectious complications and reduced follow-up requirements.
  • The findings support LA as a favorable surgical approach for perforated appendicitis.
Abstract

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