EFFECT OF LAPAROSCOPIC SURGERY IN TREATMENT OF PERIAPPENDICEAL ABSCESS IN CHILDREN

Abstract

Objective To investigate the effect of laparoscopic surgery in the treatment of periappendiceal abscess in children. Methods A retrospective analysis was performed for 106 children with periappendiceal abscess who underwent laparosco-pic three-hole surgery in Department of Pediatric General Surgery in our hospital from January 2017 to May 2023. These children were analyzed in terms of age, sex, time of onset, clinical symptoms, auxiliary examination, surgery, and postoperative review. Results The 106 children had a mean intraoperative blood loss of (8.55±3.52)mL, an operation duration of (65.05±10.80)min, and a length of postoperative hospital stay of (10.60±1.50)d. Among these children, 5 had postoperative incision infection and 8 had residual abscess in the abdominal cavity, all of whom were cured after conservative anti-inflammatory treatment. Postoperative pathology showed 82 cases of appendiceal gangrene and 24 cases of suppurative inflammation. All children underwent reexamination at the outpatient service of our hospital at 1, 3, and 6 months after discharge; physical examination showed no obvious positive signs, and ultrasound showed no obvious fluid seepage and abdominal mass in the abdominal cavity. Conclusion Laparoscopic surgery has the advantages of low intraoperative blood loss, a short length of hospital stay, and few postoperative complications in the treatment of periappendiceal abscess in children, and therefore, it is recommended for the treatment of such children.

Keywords

• abdominal abscess|laparoscopy|appendectomy|treatment outcome|child