Mini-laparoscopic appendectomy (mini-LA) can be performed safely and efficiently.
In this study, doctors from Taiwan evaluated the feasibility of mini-LA for simple and ruptured appendicitis in children.
They retrospectively compared the outcomes between mini-LA and open appendectomy in 100 patients under the age of 15 years.
The team recorded the percentage of mini-LA, operation time, time to first flatus passage, duration of hospital stay, and demand for intra-muscular pethidine injection.
They also evaluated the rate of complication among simple and ruptured appendicitis and the cost of mini-LA and open appendectomy.
The team found that 18% of the children had a perforated appendix.
They found that mini-LA accounted for 83% of appendectomies in the pediatric group. However, there was a yearly increase from 42% in 1998 to 93% in 2000.
The average operation time for the mini-LA was 57.32 minutes, compared with 49.12 minutes for open operation. However, the team found a significant improvement in mini-LA from 1998 to 1999.
|18% of the children had a perforated appendix.|
|Surgical Laparoscopy, Endoscopy and Percutaneous Techniques|
Overall, flatus passage, hospital stay, and pethidine use all favored the mini-LA.
The doctors established that when the appendix was ruptured, postoperative ileus and length of hospital stay were significantly shortened in the mini-LA group.
The postoperative complication was not significantly different between mini-LA and open appendicitis.
Dr Po-Li Wei and colleagues concluded, "Mini-LA can be safely performed in pediatric patients and it provides early postoperative recovery and short hospital stay".
"Even for a ruptured appendix, the mini-LA can be the treatment of choice in a well-equipped hospital with well-trained surgeons".