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Laparoscopic surgery treatment of children with appendiceal abscess
1Department of General Surgery, Xuzhou Children's Hospital, Xuzhou, Jiangsu, China. caohui2501@163.com.
Insights
Laparoscopic surgery is a safe and feasible treatment for pediatric appendiceal abscess, showing fewer complications than traditional laparotomy. This minimally invasive approach offers benefits for treating appendiceal abscess in children.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Appendiceal abscess in children presents a surgical challenge.
- Conventional treatments include laparotomy and conservative management.
Purpose of the Study:
- To assess the feasibility of laparoscopic surgery for pediatric appendiceal abscess.
- To compare laparoscopic surgery with conventional treatments.
Main Methods:
- Retrospective analysis of 45 children with appendiceal abscess treated laparoscopically.
- Comparison with historical laparotomy data.
- Patient age range: 7 months to 5 years.
Main Results:
- Laparoscopic surgery was successful in all 45 cases.
- Laparoscopy demonstrated significantly fewer complications compared to laparotomy (p < 0.05).
- While operation time for laparoscopy was shorter, complication rates showed no statistical significance (p > 0.05).
Conclusions:
- Laparoscopic surgery is a safe and feasible option for pediatric appendiceal abscess.
- Proper surgical and perioperative management is crucial for successful outcomes.
- Minimally invasive approaches may offer advantages in managing pediatric appendiceal abscess.
Objective:
To evaluate the feasibility of treatment for children with appendiceal abscess by laparoscopic surgery and investigate its superiorities to conventional treatments.
Patients And Methods:
45 children with appendiceal abscess who were treated with laparoscopic surgery from January 2011 to July 2011 were reviewed and analyzed. The age of children ranged from 7 months to 5 years. 37 children received emergency operations, among which 8 children additionally received laparoscopic surgery. 40 children received laparotomy for treatment of appendiceal abscess, and 28 children whose condition was ameliorated after the conservative anti-inflammatory treatment received laparoscopic surgery.
Results:
Operations of 45 children were successful, and lasted for 35 to 130 minutes with an average time of 75 minutes. There was no obvious difference in comparison of duration of laparotomy between the two groups (p > 0.05). But the laparoscopy resulted in fewer complications than the laparotomy with a statistical significance difference (p < 0.05). Moreover, the operation time for laparoscopy was shorter than that of laparotomy, but the difference in incidence rates of complications after the operation had no statistical significance (p > 0.05). The overall length of stay was apparently prolonged in two groups with a statistically significant difference (p < 0.05).
Conclusions:
If the operation and perioperative period are handled properly, treating children with appendiceal abscess by laparoscopic surgery is safe and feasible.
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