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Article: Risk factors for morbidities in laparoscopic appendectomy for acute appendicitis of paediatric patients
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TitleRisk factors for morbidities in laparoscopic appendectomy for acute appendicitis of paediatric patients
 
AuthorsChung, PHY1
Chan, KL1
Tam, PKH1
 
KeywordsMorbidity
Paediatric laparoscopic appendectomy
Risk factor
 
Issue Date2009
 
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH
 
CitationSurgical Practice, 2009, v. 13 n. 3, p. 69-72 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1744-1633.2009.00453.x
 
AbstractAim: Laparoscopic appendectomy has been the treatment of choice for acute appendicitis in children for many years. The aim of the present study was to analyze factors that are associated with morbidities of this operation and make recommendations to the management protocol. Methods: This is a single-centre study and the study period lasted from January 2002 to June 2007. The medical records of all paediatric patients undergoing emergency laparoscopic appendectomy were reviewed retrospectively. Demographic data, symptoms on presentation, operative findings, duration of operation and antibiotics used were noted. The outcome measures included conversion rate, early and late complication rates as well as duration of total hospital stay. Statistical analysis was done by SPSS version 15.0. Results: A total of 61 emergency laparoscopic appendectomies were carried out during the study period. About two-thirds of the patients were male. Thirty-nine patients were aged 13-18 years. The most common presenting symptoms were lower abdominal pain (83.6%) and fever (95.1%). The overall complication rate was 32.8%. After statistical analysis, late presentation (onset of symptoms for more than 3days) and appendicitis with perforation were found to be risk factors for perioperative morbidities. Conclusion: Late presentation and perforated appendicitis were associated with high complication rates in emergency laparoscopic appendectomy. Parents of the patients should be informed about this before operation. The possibility of using alternative management in these situations can be considered. © Journal compilation © 2009 College of Surgeons of Hong Kong.
 
ISSN1744-1625
2013 Impact Factor: 0.172
 
DOIhttp://dx.doi.org/10.1111/j.1744-1633.2009.00453.x
 
ISI Accession Number IDWOS:000268292900003
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorChung, PHY
 
dc.contributor.authorChan, KL
 
dc.contributor.authorTam, PKH
 
dc.date.accessioned2010-09-06T08:48:02Z
 
dc.date.available2010-09-06T08:48:02Z
 
dc.date.issued2009
 
dc.description.abstractAim: Laparoscopic appendectomy has been the treatment of choice for acute appendicitis in children for many years. The aim of the present study was to analyze factors that are associated with morbidities of this operation and make recommendations to the management protocol. Methods: This is a single-centre study and the study period lasted from January 2002 to June 2007. The medical records of all paediatric patients undergoing emergency laparoscopic appendectomy were reviewed retrospectively. Demographic data, symptoms on presentation, operative findings, duration of operation and antibiotics used were noted. The outcome measures included conversion rate, early and late complication rates as well as duration of total hospital stay. Statistical analysis was done by SPSS version 15.0. Results: A total of 61 emergency laparoscopic appendectomies were carried out during the study period. About two-thirds of the patients were male. Thirty-nine patients were aged 13-18 years. The most common presenting symptoms were lower abdominal pain (83.6%) and fever (95.1%). The overall complication rate was 32.8%. After statistical analysis, late presentation (onset of symptoms for more than 3days) and appendicitis with perforation were found to be risk factors for perioperative morbidities. Conclusion: Late presentation and perforated appendicitis were associated with high complication rates in emergency laparoscopic appendectomy. Parents of the patients should be informed about this before operation. The possibility of using alternative management in these situations can be considered. © Journal compilation © 2009 College of Surgeons of Hong Kong.
 
dc.description.naturelink_to_subscribed_fulltext
 
dc.identifier.citationSurgical Practice, 2009, v. 13 n. 3, p. 69-72 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1744-1633.2009.00453.x
 
dc.identifier.citeulike5391634
 
dc.identifier.doihttp://dx.doi.org/10.1111/j.1744-1633.2009.00453.x
 
dc.identifier.epage72
 
dc.identifier.hkuros165297
 
dc.identifier.isiWOS:000268292900003
 
dc.identifier.issn1744-1625
2013 Impact Factor: 0.172
 
dc.identifier.issue3
 
dc.identifier.openurl
 
dc.identifier.scopuseid_2-s2.0-68149100474
 
dc.identifier.spage69
 
dc.identifier.urihttp://hdl.handle.net/10722/84025
 
dc.identifier.volume13
 
dc.languageeng
 
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH
 
dc.publisher.placeAustralia
 
dc.relation.ispartofSurgical Practice
 
dc.relation.referencesReferences in Scopus
 
dc.subjectMorbidity
 
dc.subjectPaediatric laparoscopic appendectomy
 
dc.subjectRisk factor
 
dc.titleRisk factors for morbidities in laparoscopic appendectomy for acute appendicitis of paediatric patients
 
dc.typeArticle
 
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Author Affiliations
  1. The University of Hong Kong