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Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy

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Pediatric advanced appendicitis: open versus laparoscopic approach.

Ngozi Joy Nwokoma¹, Mark G Swindells, Karoline Pahl

¹Paediatric Surgical Unit, Norfolk and Norwich University Hospital, Norwich, UK. ngnwokoma@hotmail.com

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

|April 25, 2009

Summary

For advanced appendicitis in children, laparoscopic surgery is safe and effective. Outcomes are comparable to open surgery, with fewer wound complications but a longer operative time.

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Area of Science:

Pediatric Surgery
Gastrointestinal Surgery

Background:

Advanced appendicitis in children presents surgical challenges.
The choice between open and laparoscopic appendectomy is debated.

Purpose of the Study:

To compare open versus laparoscopic surgical approaches for advanced pediatric appendicectomy.
To evaluate outcomes including hospital stay, operative time, complications, and readmissions.

Main Methods:

Retrospective review of pediatric patients with advanced appendicitis.
Data collected from January 2005 to July 2006.
Comparison of open (17 patients) and laparoscopic (23 patients) groups.

Main Results:

No laparoscopic to open conversions were required.
Similar overall complication rates, hospital stay, and need for further surgery between groups.
Laparoscopic group had longer operative times but fewer wound complications; open group had more wound issues. One laparoscopic patient required readmission for gastrointestinal obstruction.

Conclusions:

Laparoscopic appendectomy is a safe surgical option for advanced appendicitis in children.
Outcomes are comparable between laparoscopic and open approaches, with specific advantages for each regarding complications.