Related Experiment Video

Updated: Jan 7, 2026

Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
08:51

Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch

Published on: August 24, 2019

10.6K

Incidental appendectomy during laparotomy for idiopathic intussusception in children: a dual-center retrospective

Tao Liu1, Xian-Feng Wei2, Yeerfan Aierken1

  • 1Department of General Surgery, School of Medicine, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China.

BMC Pediatrics
|December 30, 2025
PubMed

Insights

Incidental appendectomy during pediatric idiopathic intussusception surgery does not reduce recurrence or complications. This procedure, however, increases operative time and costs, suggesting routine use should be reconsidered.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • The necessity of incidental appendectomy (IA) in pediatric idiopathic intussusception surgery is debated.
  • This study assesses the benefits and risks of performing IA during open reduction for intussusception.

Purpose of the Study:

  • To evaluate the impact of incidental appendectomy on perioperative complications and recurrence rates in children with idiopathic intussusception.
  • To analyze the effect of IA on operative time, recovery, length of stay, and hospitalization costs.

Main Methods:

  • A retrospective cohort study involving 177 children undergoing open reduction for idiopathic intussusception across two centers (2014-2021).
  • Patients were categorized based on whether incidental appendectomy was performed.
  • Outcomes included perioperative complications, recurrent intussusception, operative time, time to oral intake, length of stay, and cost, analyzed using univariable and multivariable models.

Main Results:

  • Incidental appendectomy (IA) was performed in 114 patients; 63 did not undergo IA. Baseline characteristics were similar, though non-IA patients had more air enema attempts and a higher rate of ileocolic intussusception.
  • No significant differences were observed in perioperative complications (11.4% vs. 14.3%) or recurrent intussusception (6.1% vs. 11.1%) between the IA and non-IA groups.
  • IA was associated with significantly longer operative times (P=0.016) and increased total hospitalization costs (P<0.001), with no significant impact on postoperative oral intake or length of stay.

Conclusions:

  • Incidental appendectomy in pediatric idiopathic intussusception does not improve outcomes regarding recurrence or perioperative complications.
  • The procedure leads to extended surgical duration and higher healthcare costs, with most removed appendices showing minimal inflammation.
  • Routine incidental appendectomy in this context warrants reconsideration, and further prospective studies are recommended to guide surgical practice.
Abstract

Keywords:
ChildrenHistopathologyIdiopathic intussusceptionIncidental appendectomyPerioperative outcomes

More Related Videos

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience09:51

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

Published on: December 4, 2023

1.6K
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults04:14

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

Published on: February 28, 2025

656

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...
456
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...
2.0K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
503
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
423