Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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The Adequacy of Laparoscopic Appendectomy for Simple and Perforated Appendicitis in Children

소아에서 단순형 및 천공형의 급성 충수염에 대한 복강경하 충수절제술 적용의 적합성 연구

  • Kim, Mee-Ra (Department of Surgery, College of Medicine, the Catholic University of Korea) ;
  • Chung, Jae-Hee (Department of Surgery, College of Medicine, the Catholic University of Korea) ;
  • Kim, Eung-Kook (Department of Surgery, College of Medicine, the Catholic University of Korea) ;
  • Song, Young-Tack (Department of Surgery, College of Medicine, the Catholic University of Korea)
  • 김미라 (가톨릭대학교 의과대학 외과학교실) ;
  • 정재희 (가톨릭대학교 의과대학 외과학교실) ;
  • 김응국 (가톨릭대학교 의과대학 외과학교실) ;
  • 송영택 (가톨릭대학교 의과대학 외과학교실)
  • Published : 2004.12.31
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Abstract

Appendectomy is the most common emergency surgical operation in children. The laparoscopic treatment of pediatric appendicitis is controversial, particularly in complicated cases. The purpose of this study is to evaluate laparoscopic appendectomy (LA) and open appendectomy (OA) for simple and perforated appendicitis (SA, PA) in children. A total of 188 patients, operated from January 1992 to September 2003, were reviewed. Ninety-one patients underwent OA (65 SA and 26 PA) and 97 had LA ( 67 SA, 30 PA). There was one conversion of LA to OA in PA. Operative time for LA was longer for OA in PA (55.8 vs. 45.7 min; p=0.0467). Recovery of bowel movement, diet starting time, length of hospital stay for LA were significantly shorter than those for OA. Postoperative complication rate was not different between LA and OA in each group. Laparoscopic appendectomy is a safe and effective method for both simple and perforated appendicitis.

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