Laparoscopic Extracorporeal Appendectomy in Overweight and Obese Children.

Journal Article (Journal Article)

BACKGROUND AND OBJECTIVES: To compare surgical outcomes of overweight and obese patients with acute appendicitis who have undergone single-port extracorporeal laparoscopically assisted appendectomy (SP) with those who have had conventional 3-port laparoscopic appendectomy (TP). METHODS: This single-center retrospective chart review included patients 21 years of age and younger with a preoperative diagnosis of appendicitis who underwent laparoscopic appendectomy from January 2010 through December 2015. Cases of gangrenous and perforated appendicitis were excluded. Subgroup analyses of patients with acute appendicitis were performed. Operative time (OT), length of stay (LOS), and cost were compared between groups stratified by body mass index (BMI) and operative technique. RESULTS: A total of 625 appendectomies were performed-457 for acute appendicitis. Sixty-eight patients were overweight. The SP technique (n = 30) had shorter OT (median minutes, 41 vs 68; P < .001), lower cost (median , $5741 vs $8530; P < .001), and shorter LOS (median hours, 16 vs 19; P = .045) than the TP technique had (n = 38). Seventy patients were obese: 19 were treated with SP and 51 with TP. LOS did not differ significantly between the SP and TP groups, but subjects treated with SP had shorter OT (median minutes, 39 vs 63; P < .001) and lower cost (median, $6401 vs $8205; P = .043). CONCLUSIONS: The SP technique for acute appendicitis was found to have a significantly shorter OT and lower cost in all weight groups. There were minimal differences in LOS. SP should be considered in patients with acute appendicitis, regardless of their weight.

Full Text

Duke Authors

Cited Authors

  • Mohan, A; Guerron, AD; Karam, PA; Worley, S; Seifarth, FG

Published Date

  • April 2016

Published In

Volume / Issue

  • 20 / 2

PubMed ID

  • 27186069

Pubmed Central ID

  • PMC4867505

Electronic International Standard Serial Number (EISSN)

  • 1938-3797

Digital Object Identifier (DOI)

  • 10.4293/JSLS.2016.00020


  • eng

Conference Location

  • United States