Ten-year experience with pediatric laparoscopic appendectomy—are we getting better?
The purpose of this study was to compare our initial (1994-1997) and recent (2001-2003) experiences in laparoscopic appendectomy (LA). A 2-year (2001-2003) retrospective chart review of cases of appendicitis was performed and compared with data obtained from 1994 to 1997 cases. Operating and anesthe...
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| Veröffentlicht in: | Journal of pediatric surgery 2005-05, Vol.40 (5), p.842-845 |
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| container_title | Journal of pediatric surgery |
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| creator | Phillips, Stephanie Walton, J. Mark Chin, Ian Farrokhyar, Forough Fitzgerald, Peter Cameron, Brian |
| description | The purpose of this study was to compare our initial (1994-1997) and recent (2001-2003) experiences in laparoscopic appendectomy (LA).
A 2-year (2001-2003) retrospective chart review of cases of appendicitis was performed and compared with data obtained from 1994 to 1997 cases. Operating and anesthetic times as well as postoperative outcomes were analyzed. Cases of conversion to open appendectomy were included in the analysis.
Two hundred and thirty-three LA cases from 2001 to 2003 were compared with 119 cases from 1994 to 1997. Operating time decreased significantly from 58 to 47 minutes in acute appendicitis (AA) and from 80 to 58 minutes in perforated appendicitis (PA). Anesthetic time decreased significantly in both AA (82 to 71 minutes) and PA (106 to 84 minutes). There were significant decreases in the conversion rate in PA (23.4% to 3.5%), although no change was seen in AA. In PA, the incidence of postoperative abscess decreased from 36.2% to 16.5%. There was no significant decrease in length of stay, amount of analgesia used, time to resume regular diet, or incidence of wound infections and bowel obstructions.
Ten years of experience in LA has resulted in decreases in anesthetic and operating times for AA and PA as well as decreases in the incidence of abscesses and conversion rates. |
| doi_str_mv | 10.1016/j.jpedsurg.2005.01.054 |
| format | Article |
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A 2-year (2001-2003) retrospective chart review of cases of appendicitis was performed and compared with data obtained from 1994 to 1997 cases. Operating and anesthetic times as well as postoperative outcomes were analyzed. Cases of conversion to open appendectomy were included in the analysis.
Two hundred and thirty-three LA cases from 2001 to 2003 were compared with 119 cases from 1994 to 1997. Operating time decreased significantly from 58 to 47 minutes in acute appendicitis (AA) and from 80 to 58 minutes in perforated appendicitis (PA). Anesthetic time decreased significantly in both AA (82 to 71 minutes) and PA (106 to 84 minutes). There were significant decreases in the conversion rate in PA (23.4% to 3.5%), although no change was seen in AA. In PA, the incidence of postoperative abscess decreased from 36.2% to 16.5%. There was no significant decrease in length of stay, amount of analgesia used, time to resume regular diet, or incidence of wound infections and bowel obstructions.
Ten years of experience in LA has resulted in decreases in anesthetic and operating times for AA and PA as well as decreases in the incidence of abscesses and conversion rates.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2005.01.054</identifier><identifier>PMID: 15937827</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abscess - epidemiology ; Adolescent ; Analgesics, Opioid - therapeutic use ; Anesthesia Recovery Period ; Anti-Bacterial Agents - therapeutic use ; Appendectomy - methods ; Appendectomy - statistics & numerical data ; Appendicitis - surgery ; Child ; Child, Preschool ; Drug Utilization - statistics & numerical data ; Female ; Humans ; Incidence ; Infant ; Infant, Newborn ; Intraoperative Period - statistics & numerical data ; Laparoscopy - statistics & numerical data ; Male ; Ontario - epidemiology ; Pain, Postoperative - drug therapy ; Postoperative Complications - epidemiology ; Retrospective Studies ; Surgical Wound Infection - epidemiology ; Treatment Outcome</subject><ispartof>Journal of pediatric surgery, 2005-05, Vol.40 (5), p.842-845</ispartof><rights>2005 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-ba82f30c614ec354292d311ffbf26c7c841519338cc18dacf7032cd1813801b23</citedby><cites>FETCH-LOGICAL-c366t-ba82f30c614ec354292d311ffbf26c7c841519338cc18dacf7032cd1813801b23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S002234680500093X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15937827$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Phillips, Stephanie</creatorcontrib><creatorcontrib>Walton, J. Mark</creatorcontrib><creatorcontrib>Chin, Ian</creatorcontrib><creatorcontrib>Farrokhyar, Forough</creatorcontrib><creatorcontrib>Fitzgerald, Peter</creatorcontrib><creatorcontrib>Cameron, Brian</creatorcontrib><title>Ten-year experience with pediatric laparoscopic appendectomy—are we getting better?</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>The purpose of this study was to compare our initial (1994-1997) and recent (2001-2003) experiences in laparoscopic appendectomy (LA).
A 2-year (2001-2003) retrospective chart review of cases of appendicitis was performed and compared with data obtained from 1994 to 1997 cases. Operating and anesthetic times as well as postoperative outcomes were analyzed. Cases of conversion to open appendectomy were included in the analysis.
Two hundred and thirty-three LA cases from 2001 to 2003 were compared with 119 cases from 1994 to 1997. Operating time decreased significantly from 58 to 47 minutes in acute appendicitis (AA) and from 80 to 58 minutes in perforated appendicitis (PA). Anesthetic time decreased significantly in both AA (82 to 71 minutes) and PA (106 to 84 minutes). There were significant decreases in the conversion rate in PA (23.4% to 3.5%), although no change was seen in AA. In PA, the incidence of postoperative abscess decreased from 36.2% to 16.5%. There was no significant decrease in length of stay, amount of analgesia used, time to resume regular diet, or incidence of wound infections and bowel obstructions.
Ten years of experience in LA has resulted in decreases in anesthetic and operating times for AA and PA as well as decreases in the incidence of abscesses and conversion rates.</description><subject>Abscess - epidemiology</subject><subject>Adolescent</subject><subject>Analgesics, Opioid - therapeutic use</subject><subject>Anesthesia Recovery Period</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Appendectomy - methods</subject><subject>Appendectomy - statistics & numerical data</subject><subject>Appendicitis - surgery</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Drug Utilization - statistics & numerical data</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Intraoperative Period - statistics & numerical data</subject><subject>Laparoscopy - statistics & numerical data</subject><subject>Male</subject><subject>Ontario - epidemiology</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Postoperative Complications - epidemiology</subject><subject>Retrospective Studies</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>Treatment Outcome</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtOwzAQhi0EoqVwhSordgkzdl5dAap4SZXYtGvLcSbFVZsEOwW64xCckJPgPhBLVqMZfTOj_2NsiBAhYHq1iBYtlW5t5xEHSCLACJL4iPUxERgmILJj1gfgPBRxmvfYmXMLAD8GPGU9TEYiy3nWZ7Mp1eGGlA3ooyVrqNYUvJvuJfDnjeqs0cFStco2Tjetb1TbUl2S7prV5vvzS1mPUzCnrjP1PCh8JXt9zk4qtXR0cagDNru_m44fw8nzw9P4dhJqkaZdWKicVwJ0ijFpkcR8xEuBWFVFxVOd6TzGBEdC5FpjXipdZSC4LjFHkQMWXAzY5f5ua5vXNblOrozTtFyqmpq1k2k22oX2YLoHtQ_iLFWytWal7EYiyK1QuZC_QuVWqASUXqhfHB4-rIsVlX9rB4MeuNkD5HO-GbLS6Z3F0lhvSZaN-e_HD-WMjGs</recordid><startdate>20050501</startdate><enddate>20050501</enddate><creator>Phillips, Stephanie</creator><creator>Walton, J. 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Mark ; Chin, Ian ; Farrokhyar, Forough ; Fitzgerald, Peter ; Cameron, Brian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-ba82f30c614ec354292d311ffbf26c7c841519338cc18dacf7032cd1813801b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Abscess - epidemiology</topic><topic>Adolescent</topic><topic>Analgesics, Opioid - therapeutic use</topic><topic>Anesthesia Recovery Period</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Appendectomy - methods</topic><topic>Appendectomy - statistics & numerical data</topic><topic>Appendicitis - surgery</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Drug Utilization - statistics & numerical data</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Intraoperative Period - statistics & numerical data</topic><topic>Laparoscopy - statistics & numerical data</topic><topic>Male</topic><topic>Ontario - epidemiology</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Postoperative Complications - epidemiology</topic><topic>Retrospective Studies</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Phillips, Stephanie</creatorcontrib><creatorcontrib>Walton, J. 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A 2-year (2001-2003) retrospective chart review of cases of appendicitis was performed and compared with data obtained from 1994 to 1997 cases. Operating and anesthetic times as well as postoperative outcomes were analyzed. Cases of conversion to open appendectomy were included in the analysis.
Two hundred and thirty-three LA cases from 2001 to 2003 were compared with 119 cases from 1994 to 1997. Operating time decreased significantly from 58 to 47 minutes in acute appendicitis (AA) and from 80 to 58 minutes in perforated appendicitis (PA). Anesthetic time decreased significantly in both AA (82 to 71 minutes) and PA (106 to 84 minutes). There were significant decreases in the conversion rate in PA (23.4% to 3.5%), although no change was seen in AA. In PA, the incidence of postoperative abscess decreased from 36.2% to 16.5%. There was no significant decrease in length of stay, amount of analgesia used, time to resume regular diet, or incidence of wound infections and bowel obstructions.
Ten years of experience in LA has resulted in decreases in anesthetic and operating times for AA and PA as well as decreases in the incidence of abscesses and conversion rates.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>15937827</pmid><doi>10.1016/j.jpedsurg.2005.01.054</doi><tpages>4</tpages></addata></record> |
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| subjects | Abscess - epidemiology Adolescent Analgesics, Opioid - therapeutic use Anesthesia Recovery Period Anti-Bacterial Agents - therapeutic use Appendectomy - methods Appendectomy - statistics & numerical data Appendicitis - surgery Child Child, Preschool Drug Utilization - statistics & numerical data Female Humans Incidence Infant Infant, Newborn Intraoperative Period - statistics & numerical data Laparoscopy - statistics & numerical data Male Ontario - epidemiology Pain, Postoperative - drug therapy Postoperative Complications - epidemiology Retrospective Studies Surgical Wound Infection - epidemiology Treatment Outcome |
| title | Ten-year experience with pediatric laparoscopic appendectomy—are we getting better? |
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