当前位置： SCI文献检索 > JOURNAL OF PEDIATRIC SURGERY期刊下所有文献 > Laparoscopic appendectomy in children: A favorable alternative in simple and complicated appendicitis.

Laparoscopic appendectomy in children: A favorable alternative in simple and complicated appendicitis.

Abstract：

BACKGROUND/PURPOSE:The laparoscopic treatment of pediatric appendicitis remains controversial, particularly in complicated cases (gangrene and perforation). This study evaluates outcomes of open (OA) and laparoscopic appendectomy (LA). METHODS:The 391 cases of pediatric appendectomy performed between January 1998 and January 2001 were reviewed for age, sex, weight, type and length of intervention, operative description, antimicrobial therapy, analgesia, complications, length of hospitalization, and histopathology. RESULTS:A total of 126 patients were operated on by laparoscopy, 262 by laparotomy, and there were 3 conversions (LA + OA). LA patients were older (11.9 v 9.6 years; P <.001) and more frequently girls (57.1% v 38.2%; P =.0004). LA took longer to perform (45.7 v 40.6 minutes; P =.0014). Operatively, 24.6% of LAs were described as complicated compared with 22.5% in OA. Narcotic use was equivalent in both groups (1.16 v 1.29 days; P =.434), as was the incidence of complications, either operative (1.6% v 0.4%; P =.20) or postoperative (10.3% v 8.02%; P =.32). Hospitalization was shorter in LA (2.38 v 2.94 days; P =.0131). Histopathology was negative in 21.4% of LAs compared with 13% of OAs (P =.032). CONCLUSIONS:Laparoscopic appendectomy does not increase the incidence of complications, even with gangrenous or perforated appendicitis. The length of intervention is prolonged by 5 minutes on average. This technique allows for a shorter hospitalization.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Meguerditchian AN,Prasil P,Cloutier R,Leclerc S,Péloquin J,Roy G

doi

10.1053/jpsu.2002.32255

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

695-8

issue

5

eissn

0022-3468

issn

1531-5037

pii

S0022346802561972

journal_volume

37

pub_type

杂志文章

相关文献

JOURNAL OF PEDIATRIC SURGERY文献大全
  • A proposal to preserve the ileocecal valve and right colon in total colonic aganglionosis.

    abstract：:We report two cases of total colonic aganglionosis in which the ileocecal valve and right colon were preserved. The aganglionic ileal segment is removed leaving behind only a very short prececal remnant, which is anastomosed end-to-back to the remaining ileum. An ileal loop (of approximately 20 cm in length) is isolat...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(89)80401-4

    authors： Sauer H,Klos I

    更新日期：1989-05-01 00:00:00

  • Benign symptomatic thymic tumors.

    abstract：:Benign tumors of the thymic gland are relatively rare. Although most of these lesions are asymptomatic in nature, they may result in respiratory distress. This report describes 2 cases of benign thymic tumors presenting with respiratory symptoms that resolved after operative excision. ...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1053/jpsu.2000.9335

    authors： Rubb ME,Keilani R,Howatson AG,Haddad N,Remani H

    更新日期：2000-09-01 00:00:00

  • Surgical treatment of diaphragmatic eventration caused by phrenic nerve injury in the newborn.

    abstract：BACKGROUND:Phrenic nerve palsy in infants and young children usually results from birth injury or iatrogenic damage. The newborn almost invariably presents with severe respiratory distress, diaphragmatic elevation, and paradoxical movement at the affected side. METHODS/RESULTS:In this retrospective analysis a group of...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(98)90325-6

    authors： de Vries TS,Koens BL,Vos A

    更新日期：1998-04-01 00:00:00

  • Hormonal responses to surgical stress in children.

    abstract：:The hormonal responses to surgical stress in adults are well characterized. We hypothesized that children have age-related differences in the "stress responses" to surgery. To test this hypothesis we prospectively studied 98 children (aged 2 to 20 years) undergoing elective surgical procedures under general anesthesia...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(05)80343-4

    authors： Khilnani P,Munoz R,Salem M,Gelb C,Todres ID,Chernow B

    更新日期：1993-01-01 00:00:00

  • An augmented reality navigation system for pediatric oncologic surgery based on preoperative CT and MRI images.

    abstract：PURPOSE:In pediatric endoscopic surgery, a limited view and lack of tactile sensation restrict the surgeon's abilities. Moreover, in pediatric oncology, it is sometimes difficult to detect and resect tumors due to the adhesion and degeneration of tumors treated with multimodality therapies. We developed an augmented re...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2013.08.025

    authors： Souzaki R,Ieiri S,Uemura M,Ohuchida K,Tomikawa M,Kinoshita Y,Koga Y,Suminoe A,Kohashi K,Oda Y,Hara T,Hashizume M,Taguchi T

    更新日期：2013-12-01 00:00:00

  • The effects of temporary general hypoxia and local ischemia on the development of the intestines: an experimental study.

    abstract：:It is generally accepted that a circulatory disorder of the bowel during the embryonic stage of development plays an important part in the occurrence of atresias of the small bowel and colon, with the exception of the septal types of atresia. In most cases, the cause of this disorder is not known. An experimental stud...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(80)80404-0

    authors： Tibboel D,van Nie CJ,Molenaar JC

    更新日期：1980-02-01 00:00:00

  • Functional development of the donor leg after vascularized fibula graft in childhood.

    abstract：PURPOSE:To evaluate the effect of free vascularized fibula grafts on developing donor leg function, the authors reviewed their experience of procedures performed in children. METHODS:Over a 10-year period, 30 children (average age 7.2 years, without gender concern) underwent fibula harvest via an anterolateral approac...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1053/jpsu.2000.8759

    authors： Xijing H,Haopeng L,Liaosha J,Binshang L,Kunzheng W,Lvzhen M

    更新日期：2000-08-01 00:00:00

  • A complete course of intravenous antibiotics vs a combination of intravenous and oral antibiotics for perforated appendicitis in children: a prospective, randomized trial.

    abstract：INTRODUCTION:In a previous prospective randomized trial, we found a once-a-day regimen of ceftriaxone and metronidazole to be an efficient, cost-effective treatment for children with perforated appendicitis. In this study, we evaluated the safety of discharging patients to complete an oral course of antibiotics. METHO...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jpedsurg.2010.02.090

    authors： Fraser JD,Aguayo P,Leys CM,Keckler SJ,Newland JG,Sharp SW,Murphy JP,Snyder CL,Sharp RJ,Andrews WS,Holcomb GW 3rd,Ostlie DJ,St Peter SD

    更新日期：2010-06-01 00:00:00

  • Complications after surgical intervention for necrotizing enterocolitis: a multicenter review.

    abstract：:Necrotizing enterocolitis (NEC) is a serious condition affecting predominantly the premature infant. The purpose of this study is to report a multicenter experience of complications in 252 infants requiring surgical therapy for NEC. Data from eight institutions for the years 1980 through 1990 were collected and analyz...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章,多中心研究

    doi：10.1016/0022-3468(95)90328-3

    authors： Horwitz JR,Lally KP,Cheu HW,Vazquez WD,Grosfeld JL,Ziegler MM

    更新日期：1995-07-01 00:00:00

  • Efficacy of video-assisted thoracoscopic surgery in managing childhood empyema: a large single-centre study.

    abstract：BACKGROUND/PURPOSE:A randomised controlled trial evaluating the role of video-assisted thoracoscopic surgery (VATS) in childhood empyema reported a failure rate of 16.6%. Our aim is to determine the outcome of VATS in a large series of children managed by 3 paediatric surgeons experienced in endoscopic surgery. METHOD...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2008.10.083

    authors： Bishay M,Short M,Shah K,Nagraj S,Arul S,Parikh D,Jawaheer G

    更新日期：2009-02-01 00:00:00

  • Spontaneous resolution of antenatally diagnosed adrenal masses.

    abstract：:Four infants had adrenal masses detected prenatally, through ultrasonography, between 18 and 30 weeks' gestation. Two were predominantly cystic, and two were solid. The sizes ranged from 0.8 to 1.5 cm. There were no associated prenatal maternal complications or stress factors. The urine vanillylmandelic acid levels at...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(96)90339-5

    authors： Holgersen LO,Subramanian S,Kirpekar M,Mootabar H,Marcus JR

    更新日期：1996-01-01 00:00:00

  • Reconstruction of penile agenesis by a posterior sagittal approach.

    abstract：:Penile agenesis is a rare condition requiring gender reassignment and staged perineal reconstruction. This report describes two children reconstructed by taking advantage of the posterior sagittal approach. This approach allows a precise anatomic dissection, construction of a neovagina and accurate positioning of all ...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(87)80712-1

    authors： Stolar CJ,Wiener ES,Hensle TW,Silen ML,Sukarochana K,Sieber WK,Goldstein HR,Pettit J

    更新日期：1987-12-01 00:00:00

  • Captopril reduces the severity of bowel damage in a neonatal rat model of necrotizing enterocolitis.

    abstract：BACKGROUND/PURPOSE:Selective mesenteric ischemia may result from activation of the renin-angiotensin system during periods of shock and is implicated in the pathogenesis of neonatal necrotizing enterocolitis (NEC). We investigated the effectiveness of captopril, an angiotensin-converting enzyme inhibitor, in reducing t...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2007.10.022

    authors： Zani A,Eaton S,Leon FF,Malerba A,Hall NJ,De Coppi P,Smith VV,Pierro A

    更新日期：2008-02-01 00:00:00

  • Improving survival for patients with high-risk congenital diaphragmatic hernia by using extracorporeal membrane oxygenation.

    abstract：:The benefit of extracorporeal membrane oxygenation (ECMO) in cases of high-risk congenital diaphragmatic hernia (CDH) was studied by comparing pre-ECMO (1987-1990) and post-ECMO (1991-1994) 3-month survival statistics. Fifty-five CDH patients who presented in respiratory distress within 6 hours after birth were referr...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/0022-3468(95)90408-5

    authors： vd Staak FH,de Haan AF,Geven WB,Doesburg WH,Festen C

    更新日期：1995-10-01 00:00:00

  • Urological outcome in patients with Currarino syndrome.

    abstract：INTRODUCTION:Currarino syndrome is a type of caudal regression syndrome characterized by the association of hemisacrum, anorectal malformation and presacral mass. Only few studies on small series report the incidence of urinary dysfunction in Currarino syndrome. Our aim was to evaluate the urological outcome in patient...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2014.05.038

    authors： Pio L,Piatelli G,Rossi A,Scarsi P,Merello E,Capra V,Cama A,Buffa P,Torre M

    更新日期：2014-11-01 00:00:00

  • Urinary intestinal fatty acid-binding protein concentration predicts extent of disease in necrotizing enterocolitis.

    abstract：PURPOSE:Urinary intestinal fatty acid-binding protein (i-FABP), a marker of intestinal mucosal cell damage, has recently been proposed as a clinically useful measure in the early detection of necrotizing enterocolitis (NEC). However, there are no data on urinary i-FABP in more advanced (Bell stage II /III) NEC. The aim...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2009.09.024

    authors： Evennett NJ,Hall NJ,Pierro A,Eaton S

    更新日期：2010-04-01 00:00:00

  • Gastroschisis prevalence substantially decreased from 2009 through 2018 after a 3-fold increase from 1997 to 2008.

    abstract：BACKGROUND/PURPOSE:Gastroschisis incidence increased 300% in the United States from 1998 to 2013. We sought to assess trends in gastroschisis prevalence in the United States from 1997 to 2018 from a large NICU dataset. METHODS:We performed a retrospective review of all infants in the Pediatrix Clinical Data Warehouse ...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2020.03.010

    authors： Clark RH,Sousa J,Laughon MM,Tolia VN

    更新日期：2020-12-01 00:00:00

  • Inguinal hernia: relationship to respiratory disease in prematurity.

    abstract：OBJECTIVE:The purpose of this study was to identify the risk of respiratory disease for developing inguinal hernia (IH). STUDY DESIGN:A retrospective case-control study reviewed medical records of 100 outborn infant males, gestational age (GA) less than 35 weeks, admitted between July 1999 and November 2002 to our lev...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2006.06.007

    authors： Brooker RW,Keenan WJ

    更新日期：2006-11-01 00:00:00

  • Immune thrombocytopenia: surgical therapy and predictors of response.

    abstract：:We have reviewed 40 patients with immune thrombocytopenia purpura (ITP) to assess current methods of preparation for surgery and to evaluate perioperative complications and response to splenectomy. Twenty-one patients had chronic ITP (greater than 1 year duration) and 19 patients had severe acute thrombocytopenia (pla...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/0022-3468(91)90987-5

    authors： Davis PW,Williams DA,Shamberger RC

    更新日期：1991-04-01 00:00:00

  • Tracheal ligation does not correct the surfactant deficiency associated with congenital diaphragmatic hernia.

    abstract：INTRODUCTION:Experimental tracheal ligation (CDH + TL) has been shown to reverse the profound lung hypoplasia associated with congenital diaphragmatic hernia (CDH) and to normalize gas exchange. The aim of this study was to determine whether this experimental therapy would correct the surfactant deficiency present in t...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(96)90493-5

    authors： O'Toole SJ,Sharma A,Karamanoukian HL,Holm B,Azizkhan RG,Glick PL

    更新日期：1996-04-01 00:00:00

  • Congenital lip pits and Hirschsprung's disease.

    abstract：:A newborn infant with aganglionosis of the entire colon and terminal ileum also had congenital lip pits and a submucous cleft palate. These anomalies may be added to the growing list of conditions associated with Hirschsprung's disease. ...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/0022-3468(79)90010-1

    authors： Schwarz KB,Keating JP,Holtmann B,Ternberg J

    更新日期：1979-04-01 00:00:00

  • Perioperative circulating blood volume analysis in management of a 13-year-old female patient with an extraadrenal pheochromocytoma and refractory ventricular tachycardia: a case report.

    abstract：:This report describes the use of discrete real-time monitoring of blood volume (BV) and cardiac index (CI) by a dye densitography analyzer before, during, and after removal of a pheochromocytoma. The BV expanded by about 1.1 L and CI increased by about 2.2-fold after the tumor was removed. In lieu of a rapid catechola...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2006.04.007

    authors： Iijima T,Iwao Y,Ito Y

    更新日期：2006-08-01 00:00:00

  • Unexpectedly deformed anal sphincter in low-type anorectal malformation.

    abstract：PURPOSE:The sphincter muscles in anorectal anomalies, which do not appear in the surgical field, cannot be described adequately. Details of the anal sphincter in low-type anorectal malformations were investigated using 3-dimensional (3D) image analysis. PATIENTS AND METHODS:Thirty patients (10 males and 20 females) wi...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2009.07.073

    authors： Watanabe Y,Takasu H,Mori K

    更新日期：2009-12-01 00:00:00

  • Increase in fetal pulmonary artery diameters during late gestation is a predictor of outcome in congenital diaphragmatic hernia with liver herniation.

    abstract：AIM:Liver herniation (LH) in congenital diaphragmatic hernia (CDH) may not be a reliable prognostic indicator. We measured pulmonary artery (PA) diameters in CDH + LH as an alternative. METHODS:Of 41 consecutive cases of prenatally diagnosed left-sided CDH treated from 2002 to 2010, 19 had CDH + LH and 22 had CDH - LH...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2011.09.010

    authors： Okazaki T,Nakazawa N,Ogasawara Y,Shoji H,Shimizu T,Makino S,Takeda S,Lane GJ,Yamataka A

    更新日期：2011-12-01 00:00:00

  • Effects of ventilation modalities on near-infrared spectroscopy in surgically corrected CDH infants.

    abstract：BACKGROUND:Near-infrared spectroscopy (NIRS) is a noninvasive technique for monitoring tissue oxygenation and perfusion. The aim of this study was to evaluate cerebral and splanchnic NIRS changes in CDH operated infants enrolled into the VICI trial and therefore randomized for ventilatory modalities. MATERIALS AND MET...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2015.07.021

    authors： Conforti A,Giliberti P,Landolfo F,Valfrè L,Columbo C,Mondi V,Capolupo I,Dotta A,Bagolan P

    更新日期：2016-03-01 00:00:00

  • Perforation of Meckel's diverticulum in infancy.

    abstract：:Nine infants underwent operations for perforation of a Meckel's diverticulum over a 21-yr period. All of the infants were acutely ill when initially seen by the surgical service. Lethargy, irritability, anorexia, fever, abdominal tenderness, and passage of blood in the stools were common clinical manifestations. The p...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/0022-3468(75)90277-8

    authors： Canty T,Meguid MM,Eraklis AJ

    更新日期：1975-04-01 00:00:00

  • Emergency thoracotomy for acquired bronchopleural fistula in the premature infant with respiratory distress.

    abstract：:Pneumothorax is a common complication of ventilator therapy and usually responds to tube thoracostomy. Persistent pneumothorax with a large air leak may indicate the presence of a bronchopleural fistula (mean weight 1360 g) with (BPF) required FIO2 of 1.0, a peak inspiratory pressure of 33 cm H2O and were hypoxemic (x...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(80)80746-9

    authors： Grosfeld JL,Lemons JL,Ballantine TV,Schreiner RL

    更新日期：1980-08-01 00:00:00

  • Early ileostomy closure in necrotizing enterocolitis.

    abstract：:The nutritional and metabolic complications following intestinal resection and ileostomy for necrotizing enterocolitis (NEC) in low birth weight preterm infants often necessitate repeated prolonged hospitalization for salt and water imbalance and reliance on total parentaral nutrition (TPN). The traditional concerns a...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(87)80432-3

    authors： Gertler JP,Seashore JH,Touloukian RJ

    更新日期：1987-02-01 00:00:00

  • Injuries in children associated with the use of nonmotorized scooters.

    abstract：BACKGROUND/PURPOSE:Since 2000, a substantial increase in injuries related to nonmotorized scooters (kickboards) has been observed among children. The authors conducted a population-based prospective study to characterize these injuries in comparison with skateboard-related injuries during the same period. METHODS:All ...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章,多中心研究

    doi：10.1016/s0022-3468(03)00571-2

    authors： Schalamon J,Sarkola T,Nietosvaara Y

    更新日期：2003-11-01 00:00:00

  • Prenatal magnetic resonance imaging enhances fetal diagnosis.

    abstract：BACKGROUND:Ultrasound (US) evaluation of some fetal anomalies provides limited information. Anatomic details that affect prognosis and selection for fetal therapy, such as liver herniation and pulmonary hypoplasia in congenital diaphragmatic hernia (CDH) and airway patency in giant neck masses, may be difficult to deli...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(98)90315-3

    authors： Quinn TM,Hubbard AM,Adzick NS

    更新日期：1998-04-01 00:00:00