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Pediatric appendectomy in developing countries: How does it differ from international experience?

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Laparoscopic appendectomy (LA) shows a slight advantage over open appendectomy (OA) in reducing surgical site infections (SSI) in children. Our study in Lebanon aligns with international findings, highlighting LA

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Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Existing literature suggests laparoscopic appendectomy (LA) is marginally superior to open appendectomy (OA) in pediatric patients.
  • Data from developing countries regarding this comparison is limited.
  • This study details a 7-year experience from a Lebanese university hospital.

Purpose of the Study:

  • To compare the outcomes of laparoscopic appendectomy (LA) versus open appendectomy (OA) in pediatric patients.
  • To assess the efficacy and safety of both surgical approaches in a developing country context.
  • To compare local results with international findings.

Main Methods:

  • A retrospective, single-center study included pediatric patients (<15 years) undergoing appendectomy.
  • Operative techniques, patient characteristics, intraoperative findings, operative timing, length of stay, and short-term postoperative complications were analyzed.
  • Statistical analysis employed Chi-square, Fisher's exact test, Student's t-test, and ANOVA.

Main Results:

  • A total of 84 pediatric appendectomies were performed: 52 OA and 32 LA.
  • Laparoscopic appendectomy demonstrated a reduced rate of surgical site infection (SSI) compared to open appendectomy.
  • No significant differences were observed between LA and OA in other studied parameters.

Conclusions:

  • In line with global trends, laparoscopic appendectomy (LA) offers a significant advantage in reducing SSI in pediatric appendectomies.
  • Both LA and OA demonstrated comparable outcomes in other aspects, including operative timing and length of stay.
  • This study contributes valuable data from a developing country on the comparative effectiveness of pediatric appendectomy techniques.