Laparoscopic and conventional appendicectomy in children: outcomes in English hospitals between 1996 and 2006

Faiz, Omar; Blackburn, Simon; Clark, Jonathan R.; Bottle, Alex; Curry, Joe; Farrands, Paul; Aylin, Paul

doi:10.1007/s00383-008-2247-0

Cited by 31 publications

(26 citation statements)

References 14 publications

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“…[56] However, the same study could not show any difference in the clinical scoring between the two groups (QoE-C3). In a large, nationwide, multicentric study[57] involving 89,497 pediatric appendectomies, there was no difference in length of stay and 28-day readmission rates and the 30- and 365-day mortality were similar in the LS and OS groups (QoE-C5). Among children undergoing the Kasai procedure for biliary atresia,[58] the rate of early failure was 66.6% in the LS versus 38.5% in the OS (QoE-C5) group.…”

Section: Discussionmentioning

confidence: 99%

Pediatric laparoscopy: Facts and factitious claims

Raveenthiran

2010

J Indian Assoc Pediatr Surg

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Background:Pediatric laparoscopy (LS) is claimed to be superior to open surgery (OS). This review questions the scientific veracity of this assertion by systematic analysis of published evidences comparing LS versus OS in infants and children.Materials and Methods:Search of PubMed data base and the available literature on pediatric LS is analyzed.Results:One hundred and eight articles out of a total of 426 papers were studied in detail.Conclusions:High quality evidences indicate that LS is, at the best, as invasive as OS; and is at the worst, more invasive than conventional surgery. There are no high quality evidences to suggest that LS is minimally invasive, economically profitable and is associated with fewer complications than OS. Evidences are equally distributed for and against the benefits of LS regarding postoperative pain. Proof of cosmetic superiority of LS or otherwise is not available. The author concludes that pediatric laparoscopy, at the best, is simply comparable to laparotomy and its superiority over the latter could not be sustained on the basis of available scientific evidences. Benefits of laparoscopy appear to recede with younger age. Concerns are raised on the quick adoption, undue promotion and frequent misuse of laparoscopy in children.

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Section: Discussionmentioning

confidence: 99%

Pediatric laparoscopy: Facts and factitious claims

Raveenthiran

2010

J Indian Assoc Pediatr Surg

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“…Gerade im Hinblick auf diese speziellen Komplika tionen variieren die Zahlen in der Litera tur [1,6,8,9,10,12,17,18,25] Die allgemeinen Komplikationen wie der postoperative paralytisch Ileus oder das passagere perioperative Nierenversa gen traten bei unseren LAPatienten häu figer auf als bei den OAPatienten. In der Literatur wird dies genau umgekehrt be schrieben.…”

Section: Tab 2 Zeitpunkt Der Appendektomie Nach Stationärer Aufnahmeunclassified

“…In Übereinstimmung mit der Literatur ist die postoperative Krankenhausverweil dauer in der Gruppe der Patienten nach LA signifikant kürzer als bei der OA [6,7,9,17,25]. Dies wird durch einen schnel leren Kostaufbau, wie von York et al be schrieben [25], und weniger Stress infol ge eines geringeren operativen Traumas möglich [18].…”

Section: Tab 2 Zeitpunkt Der Appendektomie Nach Stationärer Aufnahmeunclassified

Kindliche Appendizitis

Gerstorfer

Clauer

Kistler

et al. 2011

Chirurg

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Following the first description of open appendicectomy using a lateral incision in the right lower abdomen by McBurney in 1894, this intervention was considered to be the standard method for treatment of appendicitis for nearly 100 years. In 1983 the gynecologist Semm presented a new option for the surgical therapy of appendicitis with the implementation of laparoscopic appendicectomy. Since then the indications for laparoscopic therapy have developed from young adults through elderly patients to children, pregnant women and finally to infants and newborns.

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“…Since then a series of reports came out with restrained enthusiasm for laparoscopy [2–6]. In children, the doubts were more pronounced especially in complicated cases [7–11]. However practice of laparoscopy increased with passage of time and its superiority over open technique is now well established in terms of morbidity, recovery, wound infections, hospital stay, and utility in young females and obese children [6, 12–15].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Appendectomy in Children: Experience in a Single Centre in Chittagong, Bangladesh

Hannan¹

2014

Minimally Invasive Surgery

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Background. Since the latter half of 1980s laparoscopy has become a well accepted modality in children in many surgical procedures including appendectomy. We present here the experience of laparoscopic appendectomy in children in a tertiary care hospital in Bangladesh. Subjects & Methods. From October 7, 2005 to July 31, 2012, 1809 laparoscopic appendectomies were performed. Laparoscopy was performed in all the cases using 3 ports. For difficult and adherent cases submucosal appendectomy was performed. Feeding was allowed 6 h after surgery and the majority was discharged on the first postoperative day. The age, sex, operative techniques, operative findings, operative time, hospital stay, outcome, and complications were evaluated in this retrospective study. Results. Mean age was 8.17 ± 3.28 years and 69% were males. Fifteen percent were complicated appendicitis, 8 cases needed conversion, and 27 cases were done by submucosal technique. Mean operating time was 39.8 ± 14.2 minutes and mean postoperative hospital stay was 1.91 days. About 5% cases had postoperative complications including 4 intra-abdominal abscesses. Conclusions. Laparoscopic appendectomy is a safe procedure in children even in complicated cases.

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Laparoscopic and conventional appendicectomy in children: outcomes in English hospitals between 1996 and 2006

Abstract: Hospital stay, readmission rates and mortality are similar following laparoscopic and open appendicectomy in children.

Cited by 31 publications

References 14 publications

Pediatric laparoscopy: Facts and factitious claims

Pediatric laparoscopy: Facts and factitious claims

Kindliche Appendizitis

Laparoscopic Appendectomy in Children: Experience in a Single Centre in Chittagong, Bangladesh

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