Laparoscopic versus open appendicectomy in children: A UK District General Hospital experience

Adwan, Hussamuddin; Weerasuriya, Chathika; Endleman, Phillip; Barnes, Alice; Stewart, Lara; Justin, Timothy A.

doi:10.1016/j.jpedsurg.2013.11.039

Cited by 11 publications

(10 citation statements)

References 13 publications

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“…Average postoperative pain according to Visual analogue score at 48 hours for open appendectomy is 4.6 ± 0.8 and 1.5 ±0.6 for laparoscopic appendectomy. 7,9,14 In another study the mean operative duration was 48.26 + 12.02 minutes and in open appendectomy 31.36 + 11.43 minutes, p < 0.001 . 7,9 While in another study the average surgical time was 52.2 min (range: 20-min-155-min) in laparoscopic appendectomy and 49.3 min (range: 20-min-110min) in open appendectomy (P < 0.476).…”

Section: Discussionmentioning

confidence: 89%

“…7,9,14 In another study the mean operative duration was 48.26 + 12.02 minutes and in open appendectomy 31.36 + 11.43 minutes, p < 0.001 . 7,9 While in another study the average surgical time was 52.2 min (range: 20-min-155-min) in laparoscopic appendectomy and 49.3 min (range: 20-min-110min) in open appendectomy (P < 0.476). 6,7,9,14 The results of a systematic review of meta- analyses of randomized controlled trials suggested that both operations (laparoscopic and open appendectomy) are reliable and suitable as the surgical management of acute appendicitis.…”

Section: Discussionmentioning

confidence: 89%

“…Pain (overall level) is significantly less in patients having Laparoscopic appendectomy than having open appendectomy (P = 0004). 7,8 Mean postoperative pain according to Visual analogue score at 48 hours for Open appendectomy is 4.6 ± 0.8 and 1.5 ±0.6 for Laparoscopic appendectomy. 8,9 In south east asia, only some research has been done to compare open and laparoscopic appendecectomy.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of open versus laparoscopic appendectomy in terms of post operative pain and operative duration.

Hayat

Riaz

Usman

et al. 2019

TPMJ

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Objectives: To measure the results of open appendectomy and laparoscopic appendectomy regarding mean postoperative pain and mean operative duration in the treatment of acute appendicitis. Study Design: Randomized clinical trial. Setting: Surgical unit Allied hospital Faisalabad. Period: June 2016 to December 2016. Material and Methods: 70 patients with appendicitis were included in the study through non-probability consecutive sampling. Patients with history of long standing pain, intake of analgesics (>3 times per week for >3 months) before surgery and patients in whom laparoscopic surgery was contraindicated were excluded. Patients were randomized in group A and group B. Open appendectomy was done in group A and laparoscopic appendectomy was carried in group B. Outcomes in terms of post-operative pain at visual analogue scale and operating time in minutes was measured. Results: Mean age was 28.50 years with standard deviation of 12.283. There were 32 (45.71%) patients were male and 38 (54.29%) patients were females. Post-Operative pain was 7.34±2.014 in group A and 3±1.94 in group B with p-value=0.0001. Operative time in group A was 42.33±4.25 minutes and group B had time of 34.48±3.5 minutes with p-value=0.0001. Conclusion: Laparoscopic appendectomy is superior to open appendectomy considering pain after surgery and time of surgery in patients with appendicitis.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

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Comparison of open versus laparoscopic appendectomy in terms of post operative pain and operative duration.

Hayat

Riaz

Usman

et al. 2019

TPMJ

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“…La laparoscopia tiene beneficios particularmente en los niños menores de 5 años; y en los niños obesos con menos complicaciones globales requiere menos analgesia postoperatoria y menor estancia clínica (11)(12)(13).…”

Section: Tratamientounclassified

Apendicectomía laparoscópica vs. abierta en pediatría, análisis de complicaciones

Angelo

Bravo

2019

Pediatr.

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Apendicitis laparoscopia apendicectomía abierta. RESUMENIntroducción: El papel de la laparoscopia en el manejo de la apendicitis aguda ya tiene un papel establecido, con los beneficios tanto clínicos como de costos hospitalarios, sin embargo en nuestro medio se requieren estudios que evalúen los resultados de la laparoscopia para el manejo de apendicitis aguda en niños. Objetivo: Hacer una comparación de los resultados clínicos entre la apendicectomía laparoscópica vs abierta en el Hospital Infantil San Vicente Fundación, y analizar las complicaciones de estas dos técnicas quirúrgicas Metodología: Es un estudio retrospectivo que incluye a todos los pacientes entre los 6 meses a los 14 años de edad con diagnóstico de apendicitis aguda que se les realizó una apendicectomía laparoscópica o abierta desde Mayo de 2014-Mayo de 2016. Se recolectaron los diferentes datos y se analizaron usando modelos para variables continuas; se estableció un valor de alfa < 0.05 para una significancia estadística. Resultados: Se realizaron 517 apendicectomías (con una media de 4,9 apendicectomías por semana, 1,4 laparoscópicas y 3,51 abiertas). El 29 % (n=151) de las apendicectomías se realizaron por vía laparoscópica (LA) y el 71 % (n=366) fueron apendicectomías abiertas (AA). Las complicaciones en LA corresponden al 9,93 % (n=15), la infección de sitio operatorio superficial corresponde al 3,31 % (n=5). La infección de sitio operatorio profunda al 3,31 % (n=5). La dehiscencia de muñón apendicular 1,98 % (n=3) Las complicaciones en AA corresponden al 18,30 % (n=67).La infección de sitio operatorio superficial corresponde al 10,68 % (n=39). La infección de sitio operatorio profunda al 4,64 % (n=17). Se presentaron 2 casos de dehiscencia de muñón apendicular. La estancia hospitalaria para los pacientes intervenidos por laparoscopia tiene una media de 3,7 días, y en la apendicectomía abierta una media de 4,11 días.Conclusiones: La apendicectomía por laparoscopia ofrece ventajas significativas en el tratamiento de la apendicitis aguda, frente a la apendicectomía abierta. Quienes más se benefician son los pacientes con apendicitis complicada; se observan menos comorbilidades, un inicio temprano de la vía oral, menos complicaciones postquirúrgicas como el desarrollo de colecciones y menor número de reintervenciones por obstrucción intestinal , lo que se traduce directamente en una reducción de la estancia hospitalaria y de los costos para el sistema de salud.

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“…The rationale of this study is to provide guidelines to future surgeons to use Laparoscopic appendectomy as common procedure because this procedure is not commonly used in our setup due to fear of increased duration as shown by previous studies. 5,6 Laparoscopic appendectomy for acute appendicitis may be suggested to be used more often in future if the results of this study show relative benefits.…”

mentioning

confidence: 94%

Apendectomy; Comparison of Outcome in Open and Laparoscopic Apendectomy

Saeed¹,

Ahmad²,

Ali³

2017

TPMJ

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Laparoscopic versus open appendicectomy in children: A UK District General Hospital experience

Cited by 11 publications

References 13 publications

Comparison of open versus laparoscopic appendectomy in terms of post operative pain and operative duration.

Comparison of open versus laparoscopic appendectomy in terms of post operative pain and operative duration.

Apendicectomía laparoscópica vs. abierta en pediatría, análisis de complicaciones

Apendectomy; Comparison of Outcome in Open and Laparoscopic Apendectomy

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