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Pediatric appendectomy in developing countries: How does it differ from international experience?

INTRODUCTION: A review of the English literature indicates the faint superiority of laparoscopic (LA) over open appendectomy (OA) in the pediatric population; however, a developing-country’s experience in the field is not available yet. This study presents our experience in LA versus OA over the las...

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Detalles Bibliográficos
Autores principales: Akkary, Rezkalla, Zeidan, Smart, Matta, Reva, Lakis, Chantal, Diab, Nabil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: King Faisal Specialist Hospital and Research Centre 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7335814/
https://www.ncbi.nlm.nih.gov/pubmed/32642539
http://dx.doi.org/10.1016/j.ijpam.2019.06.006
Descripción
Sumario:INTRODUCTION: A review of the English literature indicates the faint superiority of laparoscopic (LA) over open appendectomy (OA) in the pediatric population; however, a developing-country’s experience in the field is not available yet. This study presents our experience in LA versus OA over the last 7 years in one university hospital in Lebanon and compares our results to the international ones. METHOD: A single center retrospective study was done including all patients aged less than 15 years who underwent appendectomy. A description of each operative technique is presented. Patients’ characteristics, intraoperative finding, operative timing (OT), length of stay (LOS) and short term postoperative complications including surgical site infection (SSI) rate, intra-abdominal abscess formation (IAA) rate and reoperation rate were all studied. Statistical analysis was done using Chi-square or Fisher’s exact test, as for continuous, Student’s t test was used or one-way ANOVA in case of more than 2 categories. RESULT: Appendectomy was performed in 84 patients. 52 patients underwent OA through a Rocky Davis incision, and 32 patients underwent a LA. We found an advantage of LA over OA in reducing SSI, otherwise both approaches were similar. CONCLUSION: In accordance with international results, in our experience, LA is superior to OA only with regards to SSI.