Transumbilical laparoscopically assisted extracorporeal appendectomy in children and young adults: A retrospective cohort study

INTERNATIONAL JOURNAL OF SURGERY

卷:36

Article

Mohan, Arathi¹  Karam, Paul A.²  Buta, Martin R.³  Worley, Sarah⁴  Seifarth, Federico G.² 

[1] Case Western Reserve Univ, Sch Med, 2109 Adelbert Rd, Cleveland, OH 44106 USA

[2] Cleveland Clin, Childrens Hosp, Dept Pediat Surg, 9500 Euclid Ave A120, Cleveland, OH 44195 USA

[3] Queens Hosp Ctr, Icahn Sch Med Mt Sinai, Dept Surg, 82-68 164th St, Jamaica, NY 11432 USA

[4] Cleveland Clin Fdn, Dept Quantitat Hlth Sci, 9500 Euclid Ave JJN3, Cleveland, OH 44195 USA

关键词: Appendectomy;    Appendicitis;    Adult;    Pediatric;    Single port;    Laparoscopic;   

DOI  :  10.1016/j.ijsu.2016.11.004

来源: Elsevier

【 摘 要 】

Background: To compare surgical outcomes of pediatric patients aged 0-15 with acute appendicitis treated with single-port, transumbilical, extracorporeal laparoscopically assisted appendectomy (SP) with young adult patients aged 16-21. Materials and methods: Single center retrospective chart review in patients 21 years and younger with a pre-operative diagnosis of appendicitis who underwent SP between January 2010 and December 2015. Patients were divided into two groups based on age. Operative time (OT), length of stay (LOS), cost, rates of conversion to standard three-port laparoscopic appendectomy (TP), and rates of infection were compared between the groups. Results: SP was performed in a total of 263 patients: 211 in pediatric patients aged 0-15 and 52 in patients aged 16-21. Age groups did not differ significantly on cost, LOS, operative time, rates of conversion to TP, or rates of infection. Conclusions: SP has comparable surgical outcomes in adolescent, adult, and pediatric patients. (C) 2016 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

【 授权许可】

Free