Laparoscopic versus open appendicectomy for complicated appendicitis in children: A systematic review and meta-analysis
Topic overview
Meta-analysis of 40 studies comparing laparoscopic versus open appendectomy in children with complicated appendicitis. Laparoscopic approach shows shorter hospital stays, lower infection rates, and better overall complication profile despite longer operative times, supporting it as the preferred surgical approach.
Key takeaways
- Laparoscopic appendectomy in complicated pediatric appendicitis reduces surgical site infections and overall complications versus open approach.
- Hospital length of stay is shorter with laparoscopic versus open appendectomy for complicated appendicitis in children.
- Intraabdominal abscess rates are similar between laparoscopic and open approaches, contrary to historical concerns about laparoscopy.
- Laparoscopic appendectomy offers faster return to oral intake and reduced analgesic requirements despite longer operative time.
- Meta-analysis supports laparoscopy as the preferred surgical approach for complicated appendicitis in pediatric patients.
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