标题：Laparoscopic versus open appendectomy for acute appendicitis in children
作者：Liu, Yu; Cui, Zhengmin; Zhang, Rongpeng
作者机构：[Liu, Yu] Shandong Univ, Dept Pediat Surg, Qilu Hosp, Jinan, Shandong, Peoples R China.; [Liu, Yu; Cui, Zhengmin; Zhang, Rongpeng] Linyi Peoples Hos 更多
通讯作者地址：[Cui, ZM]Linyi Peoples Hosp, Dept Pediat Surg, Jiefang Rd, Linyi 276003, Peoples R China.
关键词：Appendicitis; Complications; Laparoscopy; Surgery; Treatment
摘要：To compare the efficacy and safety of laparoscopic appendectomy and open appendectomy for acute appendicitis in children.; This study was conducted as a retrospective comparison of hospital records for postoperative complications, duration of operation, and postoperative length of stay between children (aged < 18y) who underwent laparoscopic (n=190) or open (n=199) appendectomy over a six-year period. Quality of life was evaluated immediately and 1 month postoperatively.; The major complication rate after surgery in laparoscopic group was significantly lower than that of open appendectomy group (13% vs 27%, P < 0.05). The mean (SD) postoperative hospital stay was also shorter in laparoscopic group (2.4 (0.6) days vs 3.7 (1.1) days, P < 0.05). The postoperative minor complication rate and hospital expenses were not significantly different between the two groups. The duration of surgery was longer in laparoscopic group (P < 0.05). Children in laparoscopic group had less postoperative pain and higher quality of life after one month than those in open appendectomy group.; Laparoscopic technique seems to be safer than open appendectomy for acute appendicitis in children.