Is early laparoscopic appendectomy feasible in children with acute appendicitis presenting with an appendiceal mass? A prospective study

Goh, Brian K. P.; Chui, Chan-Hon; Yap, Te‐Lu; Low, Yee Cheng; Lama, Thichen K.; Alkouder, Ghassan; Prasad, Sai; Jacobsen, Anette Sundfor

doi:10.1016/j.jpedsurg.2005.03.046

Cited by 50 publications

(33 citation statements)

References 27 publications

(37 reference statements)

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“…There are three main treatment methods for the management of acute appendicitis with abscess: emergency appendectomy on presentation, initial conservative management followed by interval appendectomy, and a totally conservative approach without interval appendectomy. Although each treatment modality has advantages and disadvantages, with the advent of antibiotics and supportive care, surgical intervention at any stage of appendicitis can be performed without major complications [6,7].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Interval Appendectomy After Conservative Treatment of Pediatric Ruptured Appendicitis with Abscess

et al. 2014

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The management of patients with acute perforated appendicitis with abscess is controversial. The aim of the present study was to assess the outcomes of treatment in patients with this condition. We retrospectively analyzed 31 patients (16 men and 15 women with a mean age of 8.4 years) with appendicitis presenting with abscess. Patients were divided into two groups (emergency operation group and interval operation group), and clinical characteristics and outcomes of treatment were investigated. On presentation, no differences in gender, age, body weight, duration of symptoms, temperature, white blood cell count, C-reactive protein level, or maximum size of the abscess in the axial view were detected between the two groups. Fifteen patients (48.4 %) underwent emergency surgery. The remaining 16 patients (51.6 %) were initially treated conservatively with antibiotics. All 16 patients underwent planned operations after receiving conservative treatment, and two (12.5 %) of these patients underwent appendectomy before the planned operation day because of recurrent appendicitis without abscess. There were no differences in the length of hospital stay. In the emergency operation group, six (40 %) patients presented with wound infection and four (26.7 %) developed a postoperative intra-abdominal abscess. No infective complications were reported in the interval operation group. Interval appendectomy after conservative treatment of pediatric ruptured appendicitis with abscess significantly reduced postoperative infection rates.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Interval Appendectomy After Conservative Treatment of Pediatric Ruptured Appendicitis with Abscess

et al. 2014

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“…[13,14] With the advent of antibiotics and supportive care, surgical intervention at any stage of appendicitis can be performed without major complications. Immediate appendectomy was shown to be safe and feasible with a shorter hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Immediate appendectomy for appendiceal mass

Kaya¹,

Sana²,

Eris³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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AMAÇBu retrospektif çalışmanın amacı, apendiküler kitle tespit edilen hastalarda erken apendektominin güvenirliğini ve etkinliğini araştırmaktır. GEREÇ VE YÖNTEMVakıf Gureba Eğitim ve Araştırma Hastanesi Genel Cerrahi Kliniği'ne Ocak 2004 ile Nisan 2010 tarihleri arasın-da başvuran 47 hasta apendiküler kitle nedeni ile 24 saat içerisinde ameliyat edildi. Apendiküler kitle tanısı fiziksel inceleme, karın ultrasonografisi, bilgisayarlı tomografi ya da ameliyat sırasında konuldu. Yaş ve cinsiyet, semptomların süresi, başvuruda fiziksel inceleme bulguları, ameliyat bulguları, intraoperatif ve postoperatif komplikasyonlar ile hastanede yatış süresi her hasta için analiz edildi. BULGULARÇalışmaya 25 erkek (%53,2) ve 22 kadın (%46,8) hasta alındı. Ortalama yaş 37,23±15,60 (dağılım 14-75 yaş) idi. Semptomların başlaması ile ameliyat arasında geçen ortalama zaman 4,06±2,50 gündü (dağılım 1-15 gün). Apendektomi 38 hastada (%80,9) uygulandı. Yirmi dokuz hasta (%61,8) cerrahi sonrası herhangi bir komplikasyon olmaksızın taburcu edildi. Yara yeri enfeksiyonu 13 hastada (%27,7) saptandı. SONUÇErken apendektomi, apandiküler kitlelerde konservatif tedaviye alternatif güvenli ve etkili bir yöntemdir.Anahtar Sözcükler: Apandisit; apendiküler kitle; erken apendektomi.

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“…With the advanced laparoscopic tools and techniques available at present, many studies have shown that laparoscopic liver resection is safe and feasible for liver disease treatment. [6][7][8][9][10][11] Despite these advantages, laparoscopic liver surgery is not yet being considered by all surgeons, simply because laparoscopic liver surgery has been challenging until now. According to the recommendations for laparoscopic liver resection from the two international consensus meetings, however, the laparoscopic approach to left lateral sectionectomy (LLS) should be considered the new standard of care.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Laparoscopic Left Lateral Sectionectomy vs. Open Left Lateral Sectionectomy: Single Center Experience

Kim

Koh

Cho

et al. 2017

J Minim Invasive Surg

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Purpose: Laparoscopic surgery has become the mainstream surgical operation due to its stability and feasibility. Even for liver surgery, the laparoscopic approach has become an integral procedure. According to the recent international consensus meeting on laparoscopic liver surgery, laparoscopic left lateral sectionectomy (LLS) might be a new standard of care for left lateral surgical lesions. This study was designed to compare open LLS to laparoscopic LLS. Methods: In total, 82 patients who had undergone LLS at Chonnam National University HwasunHospital between 2008 and 2015 were enrolled in this study. Among them, 59 patients underwent open LLS and 23 underwent laparoscopic LLS. These two groups were compared according to general characteristics and operative outcomes. Results:The data analysis results showed that laparoscopic liver resection is superior to open liver resection in terms of the amount of bleeding during the operation and the duration of hospital stay. There was no statistical difference between the two groups in terms of operation time (p value=0.747). The amount of bleeding during the operation was 145.5±149.4 ml on average for the laparoscopic group and 320±243.8 ml on average for the open group (p value=0.005). The mean duration of hospital stay was 10.7±5.8 days for the laparoscopic surgery group and 12.2±5.1 days for the open surgery group (p value=0.003). Conclusion:This study showed that laparoscopic LLS is safe and feasible, because it involves less blood loss and a shorter hospital stay. For left lateral lesions, laparoscopic LLS might be the first option to be considered.

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Is early laparoscopic appendectomy feasible in children with acute appendicitis presenting with an appendiceal mass? A prospective study

Cited by 50 publications

References 27 publications

Effectiveness of Interval Appendectomy After Conservative Treatment of Pediatric Ruptured Appendicitis with Abscess

Effectiveness of Interval Appendectomy After Conservative Treatment of Pediatric Ruptured Appendicitis with Abscess

Immediate appendectomy for appendiceal mass

Outcomes of Laparoscopic Left Lateral Sectionectomy vs. Open Left Lateral Sectionectomy: Single Center Experience

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