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

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Published on: March 27, 2026

Laparoscopic appendectomy: an efficacious alternative for complicated appendicitis in children.

V A Pham¹, H N Pham, T H Ho

¹Department of Surgery, Hue University-College of Medicine and Pharmacy, Hue, Vietnam. phamanhvu@hotmail.com

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie

|April 7, 2009

Summary

Laparoscopic appendectomy is safe and effective for children with complicated appendicitis. This minimally invasive approach resulted in a low complication rate and successful outcomes in the study.

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Published on: February 28, 2025

Area of Science:

Pediatric Surgery
Minimally Invasive Surgery
Gastrointestinal Surgery

Background:

Laparoscopic appendectomy is standard for uncomplicated appendicitis in children.
Its use in complicated appendicitis remains debated.
This study assesses laparoscopic appendectomy for complicated cases in pediatric patients.

Purpose of the Study:

To evaluate the safety and effectiveness of laparoscopic appendectomy in children with complicated appendicitis.
To analyze intra-operative findings and post-operative outcomes.
To contribute data to the ongoing discussion on laparoscopic appendectomy for complex pediatric appendicitis.

Main Methods:

A standardized laparoscopic protocol was used for 72 children with complicated appendicitis between 2002 and 2007.
Intra-operative findings and post-operative outcomes were systematically recorded.
No cases required conversion to open surgery.

Main Results:

Seventy-two laparoscopic appendectomies for complicated appendicitis were completed successfully.
The average patient age was 8.5 years, with a mean operating time of 45 minutes.
The overall postoperative infectious complication rate was 8.3%, with no peri-operative complications. Average hospital stay was 5.7 days.

Conclusions:

Laparoscopic appendectomy is a safe and effective treatment option for complicated appendicitis in children.
The procedure demonstrates a low rate of complications.
Minimally invasive surgery is a viable approach for complex pediatric appendicitis cases.