Laparoscopic surgery treatment of children with appendiceal abscess

Y.-Y. Yin, H.-W. Zhang, H. Cao, H.-X. Zou, B.-B. Zhuo, Y. Li, X. Zhang

Department of General Surgery, Xuzhou Children’s Hospital, Xuzhou, Jiangsu, China. caohui2501@163.com

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• Pediatrics

OBJECTIVE: To evaluate the feasibility of treatment for children with appendiceal abscess by laparoscopic surgery and investigate its superiorities to conventional treatments.

PATIENTS AND METHODS: 45 children with appendiceal abscess who were treated with laparoscopic surgery from January 2011 to July 2011 were reviewed and analyzed. The age of children ranged from 7 months to 5 years. 37 children received emergency operations, among which 8 children additionally received laparoscopic surgery. 40 children received laparotomy for treatment of appendiceal abscess, and 28 children whose condition was ameliorated after the conservative anti-inflammatory treatment received laparoscopic surgery.

RESULTS: Operations of 45 children were successful, and lasted for 35 to 130 minutes with an average time of 75 minutes. There was no obvious difference in comparison of duration of laparotomy between the two groups (p > 0.05). But the laparoscopy resulted in fewer complications than the laparotomy with a statistical significance difference (p < 0.05). Moreover, the operation time for laparoscopy was shorter than that of laparotomy, but the difference in incidence rates of complications after the operation had no statistical significance (p > 0.05). The overall length of stay was apparently prolonged in two groups with a statistically significant difference (p < 0.05).

CONCLUSIONS: If the operation and perioperative period are handled properly, treating children with appendiceal abscess by laparoscopic surgery is safe and feasible.

Published on: 2017/10/25

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