Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis in Children
American Journal of Clinical and Experimental Medicine
Volume 7, Issue 3, May 2019, Pages: 71-74
Received: Jul. 7, 2019; Accepted: Jul. 26, 2019; Published: Sep. 20, 2019
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Authors
Hayet Zitouni, Department of Pediatric Surgery, Hedi Chaker Hospital, Medical University of Sfax, Sfax, Tunisia
Hamdi Louati, Department of Pediatric Surgery, Hedi Chaker Hospital, Medical University of Sfax, Sfax, Tunisia
Ahmed Turki, Department of Surgery, Habib Bourguiba Hospital, Medical University of Sfax, Sfax, Tunisia
Ahmed Guirat, Department of Surgery, Habib Bourguiba Hospital, Medical University of Sfax, Sfax, Tunisia
Mahdi Ben Dhaou, Department of Pediatric Surgery, Hedi Chaker Hospital, Medical University of Sfax, Sfax, Tunisia
Rafik Mzali, Department of Surgery, Habib Bourguiba Hospital, Medical University of Sfax, Sfax, Tunisia
Riadh Mhiri, Department of Pediatric Surgery, Hedi Chaker Hospital, Medical University of Sfax, Sfax, Tunisia
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Abstract
Appendicitis is the most common indication for urgent surgery in children. Single-incision laparoscopic surgery (SILS) has further improved surgical outcomes. In this study we compared SILS and conventional in terms of peroperative difficulty and outcomes. A retrospective chart review was performed interesting all patients operated for acute appendicitis in the department of pediatric surgery Hedi Chaker hospital and department of surgery Habib Borguiba hospital between January 2006 and December 2016. Among the total of 181 patients, LA and SILS were performed respectively on 51 (28.2%) and 137 patients (71.8%). In 41.9% of patients of conventional LA it was a complicated appendicitis and in 29.8% of SILS group it was a complicated appendicitis (p=0.22). The mean operative time was 63.7 min for the conventional LA group and 71.79 min for the SILS group, it was not statistically significant (p=0.046). Conversion was made in 13.7% of patients in the conventional LA and in 5.8% in patients with SILS (p=0.14). The median length of hospital stay was for the conventional LA group 3.5 days and for SILS group 2.3 days (p=0.04). The current study found that SILS provided comparable surgical outcomes to conventional LA and did not result in increased postoperative complication rates.
Keywords
Appendectomy, Laparoscopy, Conventional, Children
To cite this article
Hayet Zitouni, Hamdi Louati, Ahmed Turki, Ahmed Guirat, Mahdi Ben Dhaou, Rafik Mzali, Riadh Mhiri, Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis in Children, American Journal of Clinical and Experimental Medicine. Vol. 7, No. 3, 2019, pp. 71-74. doi: 10.11648/j.ajcem.20190703.12
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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