A Comprasion of Our Mid-level Learning Curve Laparoscopic Appendectomies Experience with Open Appendectomies

¹Department of Pediatric Surgery, Istanbul Fatih Sultan Mehmet Teaching and Research Hospital, Atasehir, Istanbul, Turkey.

Corresponding Author:Cesim Irsi, Department of Pediatric Surgery, Istanbul Fatih Sultan Mehmet Teaching and Research Hospital, Atasehir, Istanbul, Turkey, Tel: + 90 532 2262072; E-Mail: [email protected]

Received Date: 25 May 2016   
Accepted Date: 21 Jul 2016   
Published Date: 11 Aug 2016

Copyright © 2016 Irsi C

Citation: Irsi C. (2016). A Comprasion of Our Mid-level Learning Curve Laparoscopic Appendectomies Experience with Open Appendectomies. Mathews J Pediatr. 1(1): 002.

Aim: We aim to compare our preliminary laparoscopic appendectomy experience with open ones as a clinic which at the mid-level of learning curve for laparoscopic appendectomies.

Material and Methods: Clinic files of children operated due to acute appendicitis were retrospectively analyzed as two groups; laparoscopic appendectomy and open appendectomy. Data including age, sex, operative time, postoperative feeding time, length of hospitalization, complications and comorbidities were analyzed.

Results: At our hospital by the same surgeon, 51 children were operated with the diagnosis of appendicitis during May 2013 to June 2014. These appendectomies were done as open appendectomies in 36 and laparoscopic appendectomies in 15 children. The patients were 22 girls and 29 boys. The average age for open appendectomies were 12.5 ± 5.2 and for laparoscopic appendectomies were 13.9 ± 4.1.
Laparoscopic appendectomies were successfully performed on 15 except one due to mechanical problem. Mean operative time was 45 ± 15 minutes, and 55 ± 15m for the OA and LA groups respectively (p > 0.05). Postoperative oral intake time was 24h ± 6h with no difference in both groups. The duration of hospitalization was 2 ± 0.5 days for OA and 1.5 days ± 0.5 for LA with no obvious difference (p > 0.05).
Comorbidities found during OA were a hyperplastic polyp at ileal intestinal segment which was successfully removed and for LA group; a paraovarian cyst and a liver hemangiomas were detected (p < 0.05). Main complications for OA were 3 wound infections and an intestinal adhesive lesion which resolved spontaneously with clinical follow up and one trocar side skin infection occurred in LA group which was treated properly.

Conclusion: As a new clinic which is at the mid-level of laparoscopic appendectomy learning curve we found no certain differences between open and laparoscopic appendectomies regarding operative time, postoperative initiation of oral intake time and duration of hospitalization. Laparoscopic appendectomies provide less postoperative pain, better adaptation to daily activities, better cosmetic results and beside all these due to availability of intra-abdominal visual exposure we can determine possible comorbidities without further surgical operations.

Appendectomy; Laparoscopic Appendectomy; Learning Curve; Comorbidity; Children.