Does laparoscopic appendectomy increase the risk of intraabdominal abscess in children who have perforated appendicitis?

Özet

Objective: The aim of this study is to compare the rates of intraabdominal abscesses (IAAs), in laparoscopicappendectomy (LA) and open appendectomy (OA) for perforated appendicitis in children.Methods: A retrospective database search of consecutive cases of children with a diagnosis of perforatedappendicitis who underwent OA or LA by the first author or were operated under his supervision diagnosedwith appendicitis between 2011 and 2014 and who underwent surgery as treatment was conducted.Results: Seventy-eight patients were included in our study. Forty-two and 36 patients underwent LA and OA,respectively. One case was converted from LA to OA. There was no statistically significant difference atsuperficial incisional surgical-site infections and IAA between groups but drain placement ratio and length ofhospital stay was higher in OA group.Conclusions: The lack of difference in postoperative incidence of IAA supports the idea that LA does notincrease the risk of IAA in perforated appendicitis. Although LA for perforated appendicitis in children hasbeen intensely debated, our findings indicate that laparoscopic procedures performed by experienced pediatricsurgeons will decrease the risk of complication and conversion to OA. Laparoscopy in children is a safeprocedure for perforated, complicated appendicitis.