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Akkary R, Zeidan S, Matta R, et al. Pediatric appendectomy in developing countries: How does it differ from international experience?. Int J Pediatr Adolesc Med. 2019;7(2):70-73doi: 10.1016/j.ijpam.2019.06.006.
Akkary, R., Zeidan, S., Matta, R., Lakis, C., & Diab, N. (2020). Pediatric appendectomy in developing countries: How does it differ from international experience?. International journal of pediatrics & adolescent medicine, 7(2), 70-73. https://doi.org/10.1016/j.ijpam.2019.06.006
Akkary, Rezkalla, et al. "Pediatric appendectomy in developing countries: How does it differ from international experience?." International journal of pediatrics & adolescent medicine vol. 7,2 (2020): 70-73. doi: https://doi.org/10.1016/j.ijpam.2019.06.006
Akkary R, Zeidan S, Matta R, Lakis C, Diab N. Pediatric appendectomy in developing countries: How does it differ from international experience?. Int J Pediatr Adolesc Med. 2020 Jun;7(2):70-73. doi: 10.1016/j.ijpam.2019.06.006. Epub 2019 Jul 02. PMID: 32642539; PMCID: PMC7335814.
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Int J Pediatr Adolesc Med. 2020 Jun;7(2):70-73. doi: 10.1016/j.ijpam.2019.06.006. Epub 2019 Jul 02.

Pediatric appendectomy in developing countries: How does it differ from international experience?.

International journal of pediatrics & adolescent medicine

Rezkalla Akkary, Smart Zeidan, Reva Matta, Chantal Lakis, Nabil Diab

Affiliations

  1. Pediatric Surgery and Urology, 20A avenue de la liberté, Colmar, 68000, France.
  2. Faculty of Medicine, University of Balamand, Lebanon.
  3. American University of Beirut, Lebanon.

PMID: 32642539 PMCID: PMC7335814 DOI: 10.1016/j.ijpam.2019.06.006

Abstract

INTRODUCTION: A review of the English literature indicates the faint superiority of laparoscopic (LA) over open appendectomy (OA) in the pediatric population; however, a developing-country's experience in the field is not available yet. This study presents our experience in LA versus OA over the last 7 years in one university hospital in Lebanon and compares our results to the international ones.

METHOD: A single center retrospective study was done including all patients aged less than 15 years who underwent appendectomy. A description of each operative technique is presented. Patients' characteristics, intraoperative finding, operative timing (OT), length of stay (LOS) and short term postoperative complications including surgical site infection (SSI) rate, intra-abdominal abscess formation (IAA) rate and reoperation rate were all studied. Statistical analysis was done using Chi-square or Fisher's exact test, as for continuous, Student's t test was used or one-way ANOVA in case of more than 2 categories.

RESULT: Appendectomy was performed in 84 patients. 52 patients underwent OA through a Rocky Davis incision, and 32 patients underwent a LA. We found an advantage of LA over OA in reducing SSI, otherwise both approaches were similar.

CONCLUSION: In accordance with international results, in our experience, LA is superior to OA only with regards to SSI.

© 2019 Publishing services provided by Elsevier B.V. on behalf of King Faisal Specialist Hospital & Research Centre (General Organization), Saudi Arabia.

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