Laparoscopy in children with complicated appendicitis

Lintula, Hannu; Kokki, Hannu; Vanamo, Kari; Antila, P; Eskelinen, Matti

doi:10.1053/jpsu.2002.34998

Cited by 89 publications

(62 citation statements)

References 9 publications

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“…However, more recent studies demonstrated that children with perforated appendicitis have lower rates of IAA and PBO after an LA than an OA [19][20][21][22][23][24][25]. In our study, children with perforated appendicitis also had lower rates of IAA after an LA compared to after an OA, as the OR was 0.50 (p \ 0.001).…”

Section: Discussionsupporting

confidence: 38%

National trends in therapeutic approaches and outcomes for pediatric appendicitis: a Taiwanese nationwide cohort study

et al. 2015

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Our study demonstrated that young age and perforated appendicitis can affect postoperative IAA and PBO. LA appeared beneficial in reducing the length of hospitalization and postoperative IAA, but had an increasing risk of PBO. Although laparoscopic approach for pediatric appendectomy is increasing in our country, the different hospital levels and pediatric surgeon's laparoscopic experience must be evaluated in further study.

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Section: Discussionsupporting

confidence: 38%

National trends in therapeutic approaches and outcomes for pediatric appendicitis: a Taiwanese nationwide cohort study

et al. 2015

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“…Another child had a pelvic abscess that resolved with antibiotic treatment. Superficial wound infections were encountered in 2 patients in the open appendectomy group as observed by the author [2].…”

Section: IVmentioning

confidence: 74%

“…The role of laparoscopic surgery in the treatment of complicated appendicitis has been more controversial. Some investigators have advocated that laparoscopy should not be used in children with complicated disease because of increased postoperative morbidity [2].…”

Section: Imentioning

confidence: 99%

“Perforated Appendicitis In Children”

Gajbhiye¹,

Dakhore²,

Khathod³

2013

IOSR-JDMS

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“…Of these, 7 were omitted (3 were not accessible through the internet network of the university library of Karolinska Institutet and no contact information was available to contact the first authors in order to receive reprints of the papers [4,5,6]; four other studies used the material of an already published RCT [7,8,9,10]). As a result, 42 [11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52] papers remained for inclusion in this study.…”

Section: Methodsmentioning

confidence: 99%

The Quality of Randomized Clinical Trials in the Field of Surgery: Studies on Laparoscopic versus Open Appendectomy as an Example

Sadr–Azodi

Andrén‐Sandberg

2009

Dig Surg

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Background: The field of surgery undergoes rapid renewal and introduction of surgical techniques and instruments. Thus, the quality of the randomized clinical trials in this field should be evaluated. We assessed the quality of randomized trials comparing laparoscopic versus open appendectomy as a model. Method: Using MEDLINE and EMBASE, 42 first-time published randomized clinical trials in the English language met the inclusion criteria. Factors related to the methodological quality, e.g. blinding, sample size calculation and intention-to-treat analysis, were reviewed. Results: Method of random number generation was described in only 15 (36%) of the studies, i.e., it was not clear if the remaining two thirds of the studies were actually randomized or not. Although not using blocking, the trials often reported similar sample size in the intervention and control groups. Proper concealment of the allocation status was reported in almost half of the studies. None of the trials was judged to use proper double-blinding measures. Sample size calculation was present in one of five trials and half of the studies performed analysis according to intention-to-treat. Conclusions: It seems that surgical trials do not always follow the basic methodological guidelines to maintain the high quality of randomized clinical trials. Compliance with the CONSORT statement and transparency in result reporting is strongly recommended to improve the quality of randomized trials in the field of surgery.

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Laparoscopy in children with complicated appendicitis

Cited by 89 publications

References 9 publications

National trends in therapeutic approaches and outcomes for pediatric appendicitis: a Taiwanese nationwide cohort study

National trends in therapeutic approaches and outcomes for pediatric appendicitis: a Taiwanese nationwide cohort study

“Perforated Appendicitis In Children”

The Quality of Randomized Clinical Trials in the Field of Surgery: Studies on Laparoscopic versus Open Appendectomy as an Example

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