Laparoscopic Appendectomy in Nonperforated Appendicitis of ...

41 Vol. 9. No. 1. June 2003

Laparoscopic Appendectomy in Nonperforated Appendicitis of Children

Dae-Yeon Kim, M.D., Seong-Chul Kim, M.D., In Koo Kim, M.D.

Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine,

Seoul, Korea

Appendicitis is the most common surgical emergency in childhood. Open appendectomy has been the standard treatment. The minimally invasive techniques have been adopted in children after experiences in various surgical conditions in adults has accumulated. lt is

debatable whether laparoscopic appendectomy (LA) is superior to open appendectomy (OA) in children. The goal of this study is to review the results of laparoscopy and laparotomy in the nonperforated appendicitis. The records of 22 patients under 15 years of age who were

operated upon for nonperforated appendicitis at Asan Medical Center were analyzed between December 2002 and April 2003. Age, type and length of intervention, frequency of analgesic use, complication, length of hospitalization, and cost for each treatment groups (N=l1) were

compared. Laparoscopy patients were older (13.0 vs. 10.1 years; p > 0.05), and operative time was longer (55.0 vs. 35.0 minutes; p < 0.05). There was no conversion (OA to LA). The median length of hospital stay was significantly shorter in laparoscopy (3.0 vs. 2.0 days; p <

0.05). The median cost for LA was more expensive (W833, 836 vs. W751,398; p < 0.05). Even though there were higher costs and longer operative times with laparoscopic procedures, the shorter hospital stay was an advantage. (J Kor Assoc Pediatr Surg 9(1):41-44), 2003.

Index Words: Laparoscopy, Appendectomy, Children

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Correspondence : In Koo Kim, MD., Division of Pediatric Sur

gery, Asan Medical Center, University of Ulsan College of Me

dicine, 388-1 Poongnap-Dong, Sangpa-Ku, Seoul 138-736, Korea

Tel: 02-3010-3484, E-mail : [email protected]

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Table 1. Results of Laparoscopic and Open Appendectomy

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Open appendectomy (n-11) Laparoscopic appendectomy (n-11)

Age (years) 10.1 (7.7-15.4)

Sex ratio (M:F)

Weight (kg)

Operative time (minutet

Hospital stay (days)'

Cost (It

Values are median * statistically significant, p<O.05

7:4

40.4 (290-72.0)

35.0 (20-80)

3 (2-4)

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13.0 (6.9-15.5)

7:4

47.0 (240-77.0)

55.0 (30-75)

2 (2-3)

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r!i0: el'i!A! J'f-'J;;jEj E/E/. ",o}2IA 8(2): 156-160,

2002

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