Appendectomy is the most common emergency surgical operation in children. The laparoscopic treatment of pediatric appendicitis is controversial, particularly in complicated cases. The purpose of this study is to evaluate laparoscopic appendectomy (LA) and open appendectomy (OA) for simple and perforated appendicitis (SA, PA) in children. A total of 188 patients, operated from January 1992 to September 2003, were reviewed. Ninety-one patients underwent OA (65 SA and 26 PA) and 97 had LA ( 67 SA, 30 PA). There was one conversion of LA to OA in PA. Operative time for LA was longer for OA in PA (55.8 vs. 45.7 min; p=0.0467). Recovery of bowel movement, diet starting time, length of hospital stay for LA were significantly shorter than those for OA. Postoperative complication rate was not different between LA and OA in each group. Laparoscopic appendectomy is a safe and effective method for both simple and perforated appendicitis.
Burnout among paediatric surgeons: a systematic review and meta-analysis Sebastian Kirdar-Smith, Ricardo Twumasi, Charlotte Capon, Callum Pearse, Vasilisa Smychkovich, Alec Knight BMJ Paediatrics Open.2025; 9(1): e004030. CrossRef
Comparative Analysis of Laparoscopic Versus Open Appendectomy for Perforated Appendicitis in Children Under 12 Years Old at a Single Institute Jun-ho Cho, Jin Soo Park, Il Dong Kim, Ki Ho Kim, Byung Sun Suh, Sang Wook Kim, Hye In Lim, Kook Hyeon Jung, Byeong Geon Jung The Journal of Minimally Invasive Surgery.2013; 16(3): 69. CrossRef
Laparoscopic Appendectomy in Children with Perforated Appendicitis So-Hyun Nam, Dae-Yeon Kim, Seong-Chul Kim, In-Koo Kim Journal of the Korean Surgical Society.2009; 76(1): 47. CrossRef
