Techniques of Laparoscopic Appendectomy for Pediatric Appendicitis: How I Do It.

Document Type

Article

Publication Date

10-2021

Identifier

DOI: 10.1089/lap.2021.0500

Abstract

Background: Appendicitis is the most common operative emergency in children. As a result of accumulating evidence from randomized trials, observational studies, database work, and meta-analyses, the management of appendicitis in children has been shifting the past 15 years with many new debates emerging. In this article, we review our current management schemes.

Methods: We reviewed the current and critical literature relevant to the rationale for our current management.

Results: Clinical pathways appear to reduce variation and cost while improving the ability to diagnose and treat the disease. Minimally invasive approaches can be used to treat all forms of appendicitis.

Conclusions: The future role of non-operative management deserves ongoing exploration. Refining diagnostic treatment algorithms and enhancing antibiotic stewardship are important moving forward.

Journal Title

Journal of laparoendoscopic & advanced surgical techniques. Part A

Volume

31

Issue

10

First Page

1195

Last Page

1199

MeSH Keywords

Appendectomy; Appendicitis; Child; Databases, Factual; Humans; Laparoscopy; Longitudinal Studies

Keywords

abdominal pain; abscess; appendectomy; appendicitis; children; laparoscopy; nonoperative management; right lower quadrant; scoring system

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