Background In adult patients, it is generally accepted that laparoscopic appendicectomy (LA) is the predominant operative pathway in treating acute appendicitis. The case for a similar pathway utilising LA in children is less clear. We investigate usage, trends and complications after LA in children in a single co-located adult/paediatric centre with contemporaneous adults as controls. Methods A retrospective case–control study was conducted over 12 years including patients who underwent appendicectomy, and the paediatric series (\16 years) was divided into age-groups-based quartiles. An anonymous questionnaire-based national survey was circulated among general and paediatric surgeons. Results Of the 5784 appendicectomy patients, 2960 were children. LA rate in paediatric appendicitis was 65%. Yearly trends in LA reached a steady state in both groups after 2010 (D 0–1%/year). Rates of LA and LA IAA (respectively) differed signiﬁcantly between age groups: 60, 3% (0–9 years); 65, 1% (10–13 years); 71, 2% (14–16 years) and 93, 3% ([16 years) (p = 0.001, 0.02). The national survey showed respondents believed LA was not superior to OA in paediatric patients except in terms of cosmesis. There was strong support in the use of LA in older children and children [40 kg. Conclusion The use of LA in
World Journal of Surgery – Springer Journals
Published: May 31, 2018
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