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Feasibility of a Laparoscopic Approach for Generalized Peritonitis from Perforated Appendicitis in Children

 Hye Kyung Chang  ;  Seok Joo Han  ;  Seung Hoon Choi  ;  Jung-Tak Oh 
 Yonsei Medical Journal, Vol.54(6) : 1478-1483, 2013 
Journal Title
 Yonsei Medical Journal 
Issue Date
Appendicitis/complications* ; Appendicitis/etiology* ; Appendicitis/surgery* ; Child ; Child, Preschool ; Female ; Humans ; Laparoscopy/methods* ; Male ; Retrospective Studies ; Treatment Outcome
Appendicitis ; children ; laparoscopy ; peritonitis
PURPOSE: This study evaluated the feasibility of a laparoscopic approach in children with generalized peritonitis secondary to perforated appendicitis. MATERIALS AND METHODS: We retrospectively analyzed the medical records of patients who underwent laparoscopic appendectomy with drainage for generalized peritonitis secondary to perforated appendicitis at our hospital between September 2001 and April 2012. Laparoscopic outcomes were compared with outcomes of an open method for perforated appendicitis. RESULTS: Ninety-nine patients underwent laparoscopic appendectomy (LA) for generalized peritonitis from perforated appendicitis, and 87 patients underwent open appendectomy (OA) for perforated appendicitis. Wound infection was more common in the OA group (12.6%) than in the LA group (4.0%; p=0.032). The incidence of intestinal obstruction during long-term follow-up was significantly higher in the OA group (4.6% vs. 0.0% in the LA group; p=0.046). LA was possible in most patients for whom LA was attempted, with a conversion rate of 10.8%. Conversion to OA was affected by the preoperative duration of symptoms and the occurrence of intraoperative complications. CONCLUSION: LA is feasible for use in children with generalized peritonitis from perforated appendicitis, with reasonable open conversion and perioperative complication rates comparable to those of the OA group.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Oh, Jung Tak(오정탁)
Chang, Hye Kyung(장혜경)
Choi, Seung Hoon(최승훈)
Han, Seok Joo(한석주) ORCID logo https://orcid.org/0000-0001-5224-1437
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