Development in the surgical treatment of acute appendicitis: A single-center experience
Purpose: Laparoscopy has become the treatment of choice for acute appendicitis. The aim of the study was to compare open (OA) and laparoscopic (LA) approaches in all forms of acute appendicitis. Methodology: Two hundred and ninety-two children underwent appendectomy (238 LA/54 OA). 3/238 patients re...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | African Journal of Paediatric Surgery |
| Subjects: | |
| Online Access: | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2020;volume=17;issue=1;spage=5;epage=9;aulast=Pastore |
| _version_ | 1828844091526348800 |
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| author | Valentina Pastore Raffaella Cocomazzi Angela Basile Francesco Niglio Fabio Bartoli |
| author_facet | Valentina Pastore Raffaella Cocomazzi Angela Basile Francesco Niglio Fabio Bartoli |
| author_sort | Valentina Pastore |
| collection | DOAJ |
| description | Purpose: Laparoscopy has become the treatment of choice for acute appendicitis. The aim of the study was to compare open (OA) and laparoscopic (LA) approaches in all forms of acute appendicitis. Methodology: Two hundred and ninety-two children underwent appendectomy (238 LA/54 OA). 3/238 patients required conversion. LA surgical technique has been modified by closing also the distal stump of appendix (DSC) before removing it. Results: Early experience: 130 appendectomy, 44 by OA (34%), and 86 by LA (66%). The mean operative time was similar for both techniques. Complicated appendicitis (CA) was observed in 14 patients (11%). 10 patients treated with OA (10/14 = 71%) and 4 with LA (4/14 = 29%). Complications occurred mainly in the LA group without statistical significance. Late Experience: One hundred and sixty-two appendectomy, 10 OA (6.17%), and 152 LA (93.8%). Thirty-eight children (23.4%) had CA. The mean operative time was lower in LA group without reaching statistical significance. Total complication rate (CR) was 7.4%. CR in patients with DSC was null and significantly lower when compared to patients without DSC. Conclusion: Our results demonstrated that nearly all cases of appendicitis may be managed by laparoscopy. Ligature of distal appendiceal stump is a trick that may significantly improve outcomes during LA appendectomy. |
| first_indexed | 2024-12-12T20:59:13Z |
| format | Article |
| id | doaj.art-e1c2779736204eb1a0eab83c68105040 |
| institution | Directory Open Access Journal |
| issn | 0189-6725 |
| language | English |
| last_indexed | 2024-12-12T20:59:13Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | African Journal of Paediatric Surgery |
| spelling | doaj.art-e1c2779736204eb1a0eab83c681050402022-12-22T00:12:13ZengWolters Kluwer Medknow PublicationsAfrican Journal of Paediatric Surgery0189-67252020-01-011715910.4103/ajps.AJPS_77_17Development in the surgical treatment of acute appendicitis: A single-center experienceValentina PastoreRaffaella CocomazziAngela BasileFrancesco NiglioFabio BartoliPurpose: Laparoscopy has become the treatment of choice for acute appendicitis. The aim of the study was to compare open (OA) and laparoscopic (LA) approaches in all forms of acute appendicitis. Methodology: Two hundred and ninety-two children underwent appendectomy (238 LA/54 OA). 3/238 patients required conversion. LA surgical technique has been modified by closing also the distal stump of appendix (DSC) before removing it. Results: Early experience: 130 appendectomy, 44 by OA (34%), and 86 by LA (66%). The mean operative time was similar for both techniques. Complicated appendicitis (CA) was observed in 14 patients (11%). 10 patients treated with OA (10/14 = 71%) and 4 with LA (4/14 = 29%). Complications occurred mainly in the LA group without statistical significance. Late Experience: One hundred and sixty-two appendectomy, 10 OA (6.17%), and 152 LA (93.8%). Thirty-eight children (23.4%) had CA. The mean operative time was lower in LA group without reaching statistical significance. Total complication rate (CR) was 7.4%. CR in patients with DSC was null and significantly lower when compared to patients without DSC. Conclusion: Our results demonstrated that nearly all cases of appendicitis may be managed by laparoscopy. Ligature of distal appendiceal stump is a trick that may significantly improve outcomes during LA appendectomy.http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2020;volume=17;issue=1;spage=5;epage=9;aulast=Pastoreappendectomychildrencomplicationslaparoscopysurgical technique |
| spellingShingle | Valentina Pastore Raffaella Cocomazzi Angela Basile Francesco Niglio Fabio Bartoli Development in the surgical treatment of acute appendicitis: A single-center experience African Journal of Paediatric Surgery appendectomy children complications laparoscopy surgical technique |
| title | Development in the surgical treatment of acute appendicitis: A single-center experience |
| title_full | Development in the surgical treatment of acute appendicitis: A single-center experience |
| title_fullStr | Development in the surgical treatment of acute appendicitis: A single-center experience |
| title_full_unstemmed | Development in the surgical treatment of acute appendicitis: A single-center experience |
| title_short | Development in the surgical treatment of acute appendicitis: A single-center experience |
| title_sort | development in the surgical treatment of acute appendicitis a single center experience |
| topic | appendectomy children complications laparoscopy surgical technique |
| url | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2020;volume=17;issue=1;spage=5;epage=9;aulast=Pastore |
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