AB055. SOH22ABS063. Laparoscopic versus open appendicectomy performed by adult general surgeons in pre-teenage years children: a single-centre experience Article Swipe
Esther Man Yu Lim
,
Enda Hannan
,
Gerard Feeney
,
Lukas O’Brien
,
John Calvin Coffey
,
Colin Peirce
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.21037/map-22-ab055
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.21037/map-22-ab055
Background: The utilisation of laparoscopic appendicectomy (LA) in children remains contentious despite the well-recognised advantages of laparoscopic surgery. The purpose of this study was to compare intraoperative and postoperative outcomes in LA and open appendicectomy (OA) when performed by adult general surgeons outside of specialist paediatric practice in younger children. Methods: A retrospective review of all patients under the age of 13 that underwent LA for suspected appendicitis over a two-year period was conducted. These were case-matched with an equivalent number of patients that underwent OA during the same time period. Intraoperative and postoperative outcomes were compared. Results: Fifty-one patients underwent LA during the study period. Patient demographics were statistically equivalent with the OA cohort. A statistically significant longer median operating time (58 vs. 49 minutes) was noted in the LA group, but intraoperative outcomes were otherwise comparable. LA, when compared to OA, was associated with a significant improvement in postoperative length of stay (2 vs. 3 days, P<0.001), postoperative complication rate (0% vs. 6%, P=0.01), negative appendicectomy rate (3.9% vs. 17.6%, P<0.001) and 30-day readmission rate (0% vs. 5.9%, P=0.03). No patients in the LA group required conversion to open surgery. Conclusions: LA can be safely delivered by adult general surgeons to younger paediatric populations outside the setting of paediatric specialist practice, with statistically significant improvements in postoperative outcomes noted when compared with OA. These findings are of importance in the current healthcare context where adult general surgeons continue to perform the majority of paediatric appendicectomies.
Related Topics
Concepts
Metadata
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- Language
- en
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- OA Status
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4281864586Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.21037/map-22-ab055Digital Object Identifier
- Title
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AB055. SOH22ABS063. Laparoscopic versus open appendicectomy performed by adult general surgeons in pre-teenage years children: a single-centre experienceWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-05-01Full publication date if available
- Authors
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Esther Man Yu Lim, Enda Hannan, Gerard Feeney, Lukas O’Brien, John Calvin Coffey, Colin PeirceList of authors in order
- Landing page
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https://doi.org/10.21037/map-22-ab055Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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diamondOpen access status per OpenAlex
- OA URL
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https://doi.org/10.21037/map-22-ab055Direct OA link when available
- Concepts
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Medicine, General surgery, Paediatric surgery, Laparoscopic surgery, Open surgery, Laparoscopy, SurgeryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.outside | 42, 206 |
| abstract_inverted_index.perform | 241 |
| abstract_inverted_index.period. | 90, 105 |
| abstract_inverted_index.purpose | 19 |
| abstract_inverted_index.remains | 9 |
| abstract_inverted_index.setting | 208 |
| abstract_inverted_index.younger | 48, 203 |
| abstract_inverted_index.Methods: | 50 |
| abstract_inverted_index.P<0.001) | 172 |
| abstract_inverted_index.P=0.01), | 165 |
| abstract_inverted_index.P=0.03). | 180 |
| abstract_inverted_index.Results: | 97 |
| abstract_inverted_index.children | 8 |
| abstract_inverted_index.compared | 140, 222 |
| abstract_inverted_index.continue | 239 |
| abstract_inverted_index.findings | 226 |
| abstract_inverted_index.majority | 243 |
| abstract_inverted_index.minutes) | 125 |
| abstract_inverted_index.negative | 166 |
| abstract_inverted_index.outcomes | 29, 94, 134, 219 |
| abstract_inverted_index.patients | 56, 82, 99, 182 |
| abstract_inverted_index.practice | 46 |
| abstract_inverted_index.required | 187 |
| abstract_inverted_index.surgeons | 41, 201, 238 |
| abstract_inverted_index.surgery. | 17, 191 |
| abstract_inverted_index.two-year | 70 |
| abstract_inverted_index.Fifty-one | 98 |
| abstract_inverted_index.P<0.001), | 158 |
| abstract_inverted_index.children. | 49 |
| abstract_inverted_index.compared. | 96 |
| abstract_inverted_index.delivered | 197 |
| abstract_inverted_index.operating | 120 |
| abstract_inverted_index.otherwise | 136 |
| abstract_inverted_index.performed | 37 |
| abstract_inverted_index.practice, | 212 |
| abstract_inverted_index.suspected | 66 |
| abstract_inverted_index.underwent | 63, 84, 100 |
| abstract_inverted_index.advantages | 14 |
| abstract_inverted_index.associated | 144 |
| abstract_inverted_index.conducted. | 73 |
| abstract_inverted_index.conversion | 188 |
| abstract_inverted_index.equivalent | 79, 110 |
| abstract_inverted_index.healthcare | 233 |
| abstract_inverted_index.importance | 229 |
| abstract_inverted_index.paediatric | 45, 204, 210, 245 |
| abstract_inverted_index.specialist | 44, 211 |
| abstract_inverted_index.Background: | 0 |
| abstract_inverted_index.comparable. | 137 |
| abstract_inverted_index.contentious | 10 |
| abstract_inverted_index.improvement | 148 |
| abstract_inverted_index.populations | 205 |
| abstract_inverted_index.readmission | 175 |
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| abstract_inverted_index.case-matched | 76 |
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| abstract_inverted_index.demographics | 107 |
| abstract_inverted_index.improvements | 216 |
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| abstract_inverted_index.Intraoperative | 91 |
| abstract_inverted_index.appendicectomy | 5, 34, 167 |
| abstract_inverted_index.intraoperative | 26, 133 |
| abstract_inverted_index.well-recognised | 13 |
| abstract_inverted_index.appendicectomies. | 246 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 6 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.6899999976158142 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.13066567 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |