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Article: Risk factors for morbidities in laparoscopic appendectomy for acute appendicitis of paediatric patients

TitleRisk factors for morbidities in laparoscopic appendectomy for acute appendicitis of paediatric patients
Authors
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
Citation
Surgical Practice, 2009, v. 13 n. 3, p. 69-72 How to Cite?
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.
Persistent Identifierhttp://hdl.handle.net/10722/84025
ISSN
2013 Impact Factor: 0.172
2015 SCImago Journal Rankings: 0.121
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChung, HYen_HK
dc.contributor.authorChan, KLen_HK
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-06T08:48:02Z-
dc.date.available2010-09-06T08:48:02Z-
dc.date.issued2009en_HK
dc.identifier.citationSurgical Practice, 2009, v. 13 n. 3, p. 69-72en_HK
dc.identifier.issn1744-1625en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84025-
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.en_HK
dc.languageengen_HK
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASHen_HK
dc.relation.ispartofSurgical Practiceen_HK
dc.subjectMorbidityen_HK
dc.subjectPaediatric laparoscopic appendectomyen_HK
dc.subjectRisk factoren_HK
dc.titleRisk factors for morbidities in laparoscopic appendectomy for acute appendicitis of paediatric patientsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1744-1625&volume=13&issue=3&spage=69&epage=72&date=2009&atitle=Risk+factors+for+morbidities+in+laparoscopic+appendectomy+for+acute+appendicitis+of+paediatric+patientsen_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1744-1633.2009.00453.xen_HK
dc.identifier.scopuseid_2-s2.0-68149100474en_HK
dc.identifier.hkuros165297en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-68149100474&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume13en_HK
dc.identifier.issue3en_HK
dc.identifier.spage69en_HK
dc.identifier.epage72en_HK
dc.identifier.isiWOS:000268292900003-
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridChung, PHY=34568741300en_HK
dc.identifier.scopusauthoridChan, KL=37004089600en_HK
dc.identifier.scopusauthoridTam, PKH=7202539421en_HK
dc.identifier.citeulike5391634-

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