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Comparison of Open and Laparoscopic Appendectomy in Children: A 5-year Single Center Experience

Zenon Pogorelic1, Mia Buljubasic2, Tomislav Susnjar3

  • 1Department of Pediatric Surgery, University Hospital of Split and University of Split, School of Medicine, Croatia. Correspondence to: Dr Zenon Pogorelic, Department of Pediatric Surgery, University Hospital of Split, Spinciceva 1, 21000 Split, Croatia. zpogorelic@gmail.com.

Indian Pediatrics
|May 9, 2019
PubMed

Insights

Laparoscopic appendectomy in children leads to shorter hospital stays and fewer wound infections compared to open surgery. This minimally invasive approach is safe and effective, reducing pain and recovery time.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Acute appendicitis is a common surgical emergency in children.
  • Traditional open appendectomy has been the standard treatment.
  • Laparoscopic appendectomy offers a minimally invasive alternative.

Purpose of the Study:

  • To compare the clinical outcomes of laparoscopic versus open appendectomy in pediatric patients.
  • To evaluate complications, hospitalization duration, and analgesic requirements.

Main Methods:

  • Retrospective study of 834 children undergoing appendectomy (2012-2016).
  • Comparison between 301 patients in the laparoscopic group and 533 in the open surgery group.
  • Analysis of postoperative complications, hospital stay, re-operations, and analgesic use.

Main Results:

  • Laparoscopic appendectomy showed a shorter hospital stay (3 vs. 6 days) and reduced analgesic use.
  • Fewer wound infections occurred in the laparoscopic group (1% vs. 3.9%).
  • Surgical duration was shorter with laparoscopy (30 vs. 45 min), with similar re-operation rates (1.3%).

Conclusions:

  • Laparoscopic appendectomy is a safe and effective treatment for pediatric acute appendicitis.
  • Advantages include shorter recovery, fewer infections, and less pain.
  • The adoption of laparoscopic procedures increased significantly over the study period.
Abstract

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