Laparoscopic-assisted Appendectomy in Children with Uncomplicated Appendicitis

Saeed Al Hindi1, Husain Al Aradi2, Mohamed Mubarak2, Noor AlHashimi3

1Department of Pediatric Surgery, Salmaniya Medical Complex, P.O. Box 12, Manama, Kingdom of Bahrain

2Department of Urology, Salmaniya Medical Complex, P.O. Box 12, Manama, Kingdom of Bahrain

3Department of Pediatrics, Salmaniya Medical Complex, P.O. Box 12, Manama, Kingdom of Bahrain

Correspondence to: Dr. Mohamed Mubarak, Email Address: mohdkej@yahoo.com

Received: 07 December 2019; Revised: 01 June 2020; Accepted: 05 June 2020; Available online: 22 June 2020

 

Abstract

Background: Acute appendicitis is one of the common surgical emergencies in the pediatric population. In 1990, laparoscopic-assisted appendectomy was used in children for the first time. In this study, we present our initial experience with laparoscopic-assisted appendectomy in children, using two trocar sites, and assess it for safety and outcome. Methods: 76 cases with acute appendicitis underwent laparoscopic-assisted appendectomy at Salmaniya Medical Complex (SMC), Kingdom of Bahrain, between January 2012 and December 2015. These cases were reviewed prospectively. Results: 76 patients between 5 and 12 years underwent laparoscopic-assisted appendectomy at SMC. Operative time ranged from 25 to 45 min (mean 33.93 min). Postoperative hospitalization ranged from 2 to 5 days (mean 2.88 days). One patient developed wound infection which subsequently subsided with conservative treatment. One case was converted to open appendectomy, but without any intraoperative complications. All patients were followed up for 2 weeks, 1 month, and 3 months postoperatively. Conclusion: Laparoscopic-assisted appendectomy in children is a safe alternative to the open technique. The operative time in this technique and the length of hospitalization are both less and shorter than the open counterpart. No major intra-operative or postoperative complications were documented. Recovery was excellent.

Keywords: Appendicitis, Laparoscopic-assisted appendectomy, Open appendectomy

Ann Afr Surg. 2021; 18(1):34–38

DOI: http://dx.doi.org/10.4314/aas.v18i1.7

Conflicts of Interest: None

Funding: None

© 2021 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

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