Laparoscopic appendectomy, Laparoscopy, Minimally invasive approach, Open and Laparoscopic surgery, Pediatric laparoscopic surgery
Citation Information :
Agrawal A, Viswanathan V, Sandlas G, Agrawal A. Analyzing the Outcomes of Laparoscopic Appendectomies in Children: Lessons Learned from 153 Consecutive Surgeries. World J Lap Surg 2022; 15 (2):123-126.
Introduction and discussion: Appendicitis is one of the most common causes of acute abdomen presenting in the pediatric age-group. Surgical management is still the gold standard management for this condition. The introduction of the minimally invasive laparoscopic approach vis-à-vis the conventional laparoscopic and open approaches has overhauled the surgical management of this condition. The first laparoscopic appendectomy was performed by Semm in 1983 in an adult patient; however, it was not until 1992 when the first laparoscopic appendectomy was done in the pediatric age-group by Ure et al.
Objective: Our goal with this study was to analyze if laparoscopic surgery can be used as the standard of care for appendectomies, regardless of the type of appendicitis, complicated or uncomplicated.
Results: The results of our study suggest that in the pediatric age-group, males presented with appendicitis more commonly than females. We also found that the most patients had an average length of stay (ALOS) between 48 and 72 hours, regardless of the type of appendicitis, complicated or uncomplicated.
Conclusion: This study only reaffirms the fact that a pediatric laparoscopic appendectomy is a safe approach in all types of appendicitis, complicated or uncomplicated, but it does have a learning curve.
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