Abstract
Purpose The objective of this study is to compare outcomes for pediatric patients undergoing laparoscopic appendectomy (LA) performed either (1) using an endostapler (ES) to divide the appendix and mesoappendix or (2) using endoloops (ELs) to close the appendiceal stump and electrocautery to divide the mesoappendix. Methods We conducted a retrospective chart review of all patients who underwent LA for suspected appendicitis 4 years at a free standing children's hospital. The use of EL and ES was compared separately in patients with perforated and nonperforated appendicitis. We compared patient characteristics and outcomes. Results There were no significant differences in rate of postoperative abscess, rate of subsequent small bowel obstruction requiring operation or rate of intraperitoneal hematoma between the ES and EL groups for both nonperforated and perforated appendectomy cases. Superficial wound infection was more common in the nonperforated EL group (17/309, 5.5%) than in the nonperforated ES group (2/235, 0.9%; p = 0.007). Operative time for the EL technique (52.2 ± 15.8 minutes; p = 0.047) was shorter than for the ES technique (58 ± 23.2 minutes) for patients with perforated appendicitis. Conclusion EL stump closure and mesoappendix cauterization during LA is safe and effective in children with appendicitis, including perforated appendicitis.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 155-159 |
| Number of pages | 5 |
| Journal | European Journal of Pediatric Surgery |
| Volume | 25 |
| Issue number | 2 |
| DOIs | |
| State | Published - Apr 1 2015 |
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Keywords
- appendicitis
- endoloop
- nonperforated
- perforated
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Surgery
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Endoloop as the first line tool for appendiceal stump closure in children with appendicitis. / Naiditch, Jessica; Lautz, Timothy B; Chin, Anthony C; Browne, Marybeth; Rowell, Erin.
In: European Journal of Pediatric Surgery, Vol. 25, No. 2, 01.04.2015, p. 155-159.Research output: Contribution to journal › Article
TY - JOUR
T1 - Endoloop as the first line tool for appendiceal stump closure in children with appendicitis
AU - Naiditch, Jessica
AU - Lautz, Timothy B
AU - Chin, Anthony C
AU - Browne, Marybeth
AU - Rowell, Erin
PY - 2015/4/1
Y1 - 2015/4/1
N2 - Purpose The objective of this study is to compare outcomes for pediatric patients undergoing laparoscopic appendectomy (LA) performed either (1) using an endostapler (ES) to divide the appendix and mesoappendix or (2) using endoloops (ELs) to close the appendiceal stump and electrocautery to divide the mesoappendix. Methods We conducted a retrospective chart review of all patients who underwent LA for suspected appendicitis 4 years at a free standing children's hospital. The use of EL and ES was compared separately in patients with perforated and nonperforated appendicitis. We compared patient characteristics and outcomes. Results There were no significant differences in rate of postoperative abscess, rate of subsequent small bowel obstruction requiring operation or rate of intraperitoneal hematoma between the ES and EL groups for both nonperforated and perforated appendectomy cases. Superficial wound infection was more common in the nonperforated EL group (17/309, 5.5%) than in the nonperforated ES group (2/235, 0.9%; p = 0.007). Operative time for the EL technique (52.2 ± 15.8 minutes; p = 0.047) was shorter than for the ES technique (58 ± 23.2 minutes) for patients with perforated appendicitis. Conclusion EL stump closure and mesoappendix cauterization during LA is safe and effective in children with appendicitis, including perforated appendicitis.
AB - Purpose The objective of this study is to compare outcomes for pediatric patients undergoing laparoscopic appendectomy (LA) performed either (1) using an endostapler (ES) to divide the appendix and mesoappendix or (2) using endoloops (ELs) to close the appendiceal stump and electrocautery to divide the mesoappendix. Methods We conducted a retrospective chart review of all patients who underwent LA for suspected appendicitis 4 years at a free standing children's hospital. The use of EL and ES was compared separately in patients with perforated and nonperforated appendicitis. We compared patient characteristics and outcomes. Results There were no significant differences in rate of postoperative abscess, rate of subsequent small bowel obstruction requiring operation or rate of intraperitoneal hematoma between the ES and EL groups for both nonperforated and perforated appendectomy cases. Superficial wound infection was more common in the nonperforated EL group (17/309, 5.5%) than in the nonperforated ES group (2/235, 0.9%; p = 0.007). Operative time for the EL technique (52.2 ± 15.8 minutes; p = 0.047) was shorter than for the ES technique (58 ± 23.2 minutes) for patients with perforated appendicitis. Conclusion EL stump closure and mesoappendix cauterization during LA is safe and effective in children with appendicitis, including perforated appendicitis.
KW - appendicitis
KW - endoloop
KW - nonperforated
KW - perforated
UR - http://www.scopus.com/inward/record.url?scp=84889768171&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84889768171&partnerID=8YFLogxK
U2 - 10.1055/s-0033-1360455
DO - 10.1055/s-0033-1360455
M3 - Article
C2 - 24327215
AN - SCOPUS:84889768171
VL - 25
SP - 155
EP - 159
JO - European Journal of Pediatric Surgery
JF - European Journal of Pediatric Surgery
SN - 0939-7248
IS - 2
ER -