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 %y'i:j011 ;(1li-c 7B-l;j· L}. 1990\1 I:J1 7cJ °1 i'}011 'il-'8 ° 1.f-, 'i'i' oa 7B* *7J7cJ 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].:}Al101Jl o}yq. *7J7cJ %yAJ, Ad 'i'101jJ'i -c 1983\1 i'} Semm°l, o}-c 1988\1 Scottish Rite Children's Medical Center 011}'i ;(1 .f- %qi.2. *7J7cJ AB 71;Q°1 fi o }7.1Jl, .f- 3cjJl, * :r17} [:l iJ''i:j 01 3cjJl, %Ei7} TAJ -o}'\},q3-5. 01011 tfrtB }'1z}i'} AJ{J u1 u 1-o}Jl y-01t;] %y'i:j,g-
4
Embed
Laparoscopic Appendectomy in Nonperforated …N ;Q--I', T-.i"oJl ~~B}s:l2-\..t ~lAt!'1 'T!'1 ~I Table 1. Results of Laparoscopic and Open Appendectomy ~loJl rrJ4
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
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.