ID 110420
Title Transcription
ショウニ センコウセイ チュウスイエン ニタイスル カイフク シュジュツ ト ヒシタ フククウキョウ シュジュツ ノ ユウヨウセイ ノ ケントウ
Title Alternative
A comparison of outcomes between open and laparoscopic surgery for perforated appendicitis in children
Author
Nii, Akira Department of Pediatric Surgery, Shikoku medical center for Children and Adults
Iwamura, Yoshinobu Department of Pediatric Surgery, Shikoku medical center for Children and Adults
Asai, Takeshi Department of Pediatric Surgery, Shikoku medical center for Children and Adults
Asai, Yoshie Department of Pediatric Surgery, Shikoku medical center for Children and Adults
Keywords
child
perforated appendicitis
open surgery
laparoscopic surgery
Content Type
Journal Article
Description
【Background】
The role of laparoscopy in the management of perforated appendicitis in children is still somewhat controversial. We evaluated outcomes between open and laparoscopic surgery for perforated appendicitis in children.
【Patients and methods】
The medical records which underwent appendectomy for perforated appendicitis in children less than 15 years old from April 2003 to March 2015 were retrospectively reviewed.
【Results】
A total of 78 patients were enrolled. Twenty-five children underwent open appendectomy(OA)and 53 had laparoscopic appendectomy(LA) for perforated appendicitis. The mean operative time for LA(80.4±40.2 minutes for OA vs 109.0±29.7 minutes for LA, p<0.01)was significantly longer. Patients in the LA group returned to oral intake earlier(2.3±1.1 days for LA vs 3.6±1.7 days for OA, p<0.01)and had a shorter length of hospital stay(8.5±4.9 days for LA vs 12.7±6.3 days for OA, p<0.01). The incidence of postoperative complication in LA group was lower(6 cases for LA vs 8 cases for OA, p<0.05).
【Conclusions】
Laparoscopic appendectomy for perforated appendicitis in children was a feasible procedure which effects early postoperative oral intake, shortened length of hospital stay, and reducepostoperative complications.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
73
Issue
1-2
Start Page
65
End Page
70
Sort Key
65
Published Date
2017-04-25
FullText File
language
jpn
TextVersion
Publisher