Aim: To evaluate the outcome of laparoscopic (LA) vs open appendectomy (OA) in children with perforated appendicitis.
Materials and methods: Retrospective review was conducted from January 2013 to October 2016 evaluating 81 patients with perforated appendicitis based on surgical approach. We compared demographics, mean operative time, length of stay, infectious complications, and follow-up in patients with OA (n = 37) and LA (n = 44).
Results: Compared with OA, LA resulted in a lower rate of wound infection (4.5 vs 8.1.5%; p < 0.05). The occurrence of the intraabdominal abscess was significantly lower in the LA group (0 vs 5.4%; p < 0.05). There was a significant difference in the duration of operation between the two groups; it was 61.6 ± 20.3 minutes in OA, compared with the LA group (51.6 ± 28.6 minutes) (p < 0.05).
Conclusion: We conclude that LA provides better postoperative course, less postoperative pain, and less postoperative complications.
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