Laparoscopic Appendectomy Versus Open Appendectomy in Children: Evolution over Time

Laura Dumitrică, L. Dobrotă, B. Neamțu
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Abstract

Abstract Laparoscopic appendicitis surgery is accepted in more and more centers around the world. Studies and meta-analyses of studies have shown that laparoscopic appendicitis is a feasible and safe procedure with numerous clinical benefits, such as shorter postoperative ileus, lower incidence of wound infection, lower postoperative pain and duration, recurrence faster to activities. Because laparoscopic appendectomy has been associated with a reduced risk of surgical complications, it may provide a better alternative versus open surgery. A review of data relevant to the evaluation of laparoscopic appendectomy versus open appendectomy as reflected in the literature of the last 2 decades would be relevant for the growing progressive interest of laparoscopic surgery for acute appendicitis and for its comparative evaluation with classical open appendicitis intervention.
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儿童腹腔镜阑尾切除术与开放式阑尾切除术:随时间的演变
摘要腹腔镜阑尾炎手术在世界各地越来越多的中心被接受。研究和荟萃分析表明,腹腔镜阑尾炎是一种可行且安全的手术,具有许多临床益处,如术后回肠更短、伤口感染发生率更低、术后疼痛和持续时间更低、活动复发更快。由于腹腔镜阑尾切除术可降低手术并发症的风险,因此与开放手术相比,它可能提供更好的替代方案。回顾过去20年文献中反映的腹腔镜阑尾切除术与开放式阑尾切除术的相关评估数据,将有助于提高对腹腔镜手术治疗急性阑尾炎的兴趣,并有助于对其与经典开放式阑尾炎干预的比较评估。
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