Related Experiment Video

Updated: Dec 10, 2025

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

520

Outcomes after appendectomy in children with acute appendicitis treated at a tertiary paediatric centre: results from

Max Knaapen1, Paul van Amstel2, Tim van Amstel2

  • 1Department of Paediatric Surgery, Emma Children's Hospital, Amsterdam UMC, University of Amsterdam & Vrije Universiteit Amsterdam, PO Box 22660, 1100DD, Amsterdam, The Netherlands. M.Knaapen@amsterdamumc.nl.

Langenbeck'S Archives of Surgery
|August 30, 2020
PubMed

Insights

Appendectomy in children has a higher complication rate than previously thought, especially in complex cases. These findings highlight the need for ongoing optimization of appendicitis treatment strategies.

Area of Science:

  • Pediatric Surgery
  • Surgical Outcomes
  • Appendicitis Management

Background:

  • Appendectomy is generally considered a low-risk procedure.
  • Reported complication rates following appendectomy in children vary significantly in existing literature.

Purpose of the Study:

  • To investigate the incidence of post-appendectomy complications in pediatric patients diagnosed with acute appendicitis.
  • To provide updated data on complication rates to inform clinical practice and future research.

Main Methods:

  • A retrospective cohort study was conducted on 131 children (0-17 years) who underwent appendectomy for acute appendicitis between January 2011 and December 2018.
  • Complications were identified from electronic medical records and classified using the Clavien-Dindo grading system (I-II for less severe, III-IV for severe).
  • Exclusion criteria included referred cases and non-operative management.

Main Results:

  • Overall, 33% of patients experienced one or more complications.
  • Children with simple appendicitis had a 12% complication rate (3 severe), while those with complex appendicitis had a 38% complication rate (14 severe).
  • The study observed a higher complication incidence than reported in much of the current literature.

Conclusions:

  • The findings indicate a substantial rate of complications following pediatric appendectomy, particularly in cases of complex appendicitis.
  • The higher rates may be attributed to the study's definitions and the center's status as a tertiary referral facility managing more severe cases.
  • Appendectomy should not be viewed as a routine procedure with minimal risk, emphasizing the need for continued improvement in appendicitis treatment.
Abstract

Keywords:
AppendectomyAppendicitisPaediatric surgeryPost-appendectomy complications

More Related Videos

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery04:03

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery

Published on: March 28, 2025

380
A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients03:47

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients

Published on: October 25, 2024

523

Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
318
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
1.6K
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
185