PubTransformer

A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.

Retrospective review of laparoscopic versus open surgery in the treatment of appendiceal abscess in pediatric patients: Laparoscopic versus open surgery for appendiceal abscess.

Abstract Laparoscopic appendectomy (LA) has become well accepted, but the role of LA for appendicitis upon presentation with an abscess remains undefined. This study was to assess the postoperative recovery and complications following LA in pediatric patients with appendiceal abscess in comparison with open appendectomy (OA).We conducted a retrospective review of patients presented with appendiceal abscess between 2005 and 2016. Propensity score matching (PSM) was conducted to adjust for any potential selection bias for the surgical approaches. In 108 matched patients, operative outcomes and surgical complications were evaluated based on LA or OA.The patients with LA experienced prompt postoperative gastrointestinal function recovery, like first bowel movement (risk ratio [RR], 0.52; 95% confidence interval [CI], 0.44-0.69; P < .001), so spend the lower mean length of hospitalization (RR, 0.53; 95% CI, 0.41-0.76; P < .001) in comparison with patients with OA. Furthermore, the immunologic and inflammatory variable white blood cell (WBC) (RR, 0.56; 95% CI, 0.46-0.73; P < .001) and C-reactive protein (CRP) (RR, 0.58; 95% CI, 0.43-0.86; P = .011) on postoperative days (POD) 5 was reduced in patients undergone LA compared with that of OA. A lower overall postoperative complication rate, including surgical wound infection (odds ratio [OR], 0.38; 95% CI, 0.18-0.81; P = .008) and incision dehiscence (OR, 0.06; 95% CI, 0.01-0.45; P < .001) was noted in patients with LA compared with OA.LA was feasible and effective for appendicitis upon presentation with an abscess and associated with beneficial clinical effects, such as postoperative gastrointestinal function recovery and reduced postoperative complications. LA should be seriously considered as the first line procedure of choice.
PMID
Related Publications

Management of postoperative intraabdominal abscess in laparoscopic versus open appendectomy.

Laparoscopic versus open appendectomy for complicated appendicitis.

Comparison of the outcomes of laparoscopic and open approaches in the treatment of periappendiceal abscess diagnosed by radiologic investigation.

Complicated appendicitis in children: is laparoscopic appendectomy appropriate? A comparative study with the open appendectomy--our experience.

Complicated appendicitis--is the laparoscopic approach appropriate? A comparative study with the open approach: outcome in a community hospital setting.

Authors

Mayor MeshTerms

Appendectomy

Laparoscopy

Keywords
Journal Title medicine
Publication Year Start




PMID- 28746196
OWN - NLM
STAT- MEDLINE
DA  - 20170726
DCOM- 20170807
LR  - 20170807
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 30
DP  - 2017 Jul
TI  - Retrospective review of laparoscopic versus open surgery in the treatment of
      appendiceal abscess in pediatric patients: Laparoscopic versus open surgery for
      appendiceal abscess.
PG  - e7514
LID - 10.1097/MD.0000000000007514 [doi]
AB  - Laparoscopic appendectomy (LA) has become well accepted, but the role of LA for
      appendicitis upon presentation with an abscess remains undefined. This study was 
      to assess the postoperative recovery and complications following LA in pediatric 
      patients with appendiceal abscess in comparison with open appendectomy (OA).We
      conducted a retrospective review of patients presented with appendiceal abscess
      between 2005 and 2016. Propensity score matching (PSM) was conducted to adjust
      for any potential selection bias for the surgical approaches. In 108 matched
      patients, operative outcomes and surgical complications were evaluated based on
      LA or OA.The patients with LA experienced prompt postoperative gastrointestinal
      function recovery, like first bowel movement (risk ratio [RR], 0.52; 95%
      confidence interval [CI], 0.44-0.69; P &lt; .001), so spend the lower mean length of
      hospitalization (RR, 0.53; 95% CI, 0.41-0.76; P &lt; .001) in comparison with
      patients with OA. Furthermore, the immunologic and inflammatory variable white
      blood cell (WBC) (RR, 0.56; 95% CI, 0.46-0.73; P &lt; .001) and C-reactive protein
      (CRP) (RR, 0.58; 95% CI, 0.43-0.86; P = .011) on postoperative days (POD) 5 was
      reduced in patients undergone LA compared with that of OA. A lower overall
      postoperative complication rate, including surgical wound infection (odds ratio
      [OR], 0.38; 95% CI, 0.18-0.81; P = .008) and incision dehiscence (OR, 0.06; 95%
      CI, 0.01-0.45; P &lt; .001) was noted in patients with LA compared with OA.LA was
      feasible and effective for appendicitis upon presentation with an abscess and
      associated with beneficial clinical effects, such as postoperative
      gastrointestinal function recovery and reduced postoperative complications. LA
      should be seriously considered as the first line procedure of choice.
FAU - Li, Ping
AU  - Li P
AD  - aDepartment of Ultrasound, The Affiliated Hospital of Medical College, Qingdao
      University, Qingdao bDepartment of Neonatal cDepartment of Pediatric General
      Surgery and Liver Transplantation dMinistry of Education Key Laboratory of Child 
      Development and Disorders, Children's Hospital of Chongqing Medical University,
      Chongqing, P.R. China.
FAU - Han, Yan
AU  - Han Y
FAU - Yang, Yang
AU  - Yang Y
FAU - Guo, Hongjie
AU  - Guo H
FAU - Hao, Fabao
AU  - Hao F
FAU - Tang, Yan
AU  - Tang Y
FAU - Guo, Chunbao
AU  - Guo C
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Abdominal Abscess/immunology/*surgery
MH  - *Appendectomy
MH  - Appendicitis/immunology/*surgery
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - *Laparoscopy
MH  - Length of Stay
MH  - Male
MH  - Postoperative Complications
MH  - Propensity Score
MH  - Recovery of Function
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2017/07/27 06:00
MHDA- 2017/08/08 06:00
CRDT- 2017/07/27 06:00
AID - 10.1097/MD.0000000000007514 [doi]
AID - 00005792-201707280-00027 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jul;96(30):e7514. doi: 10.1097/MD.0000000000007514.