Email updates

Keep up to date with the latest news and content from BMC Pediatrics and BioMed Central.

Open Access Research article

Short term and long term results after open vs. laparoscopic appendectomy in childhood and adolescence: a subgroup analysis

Matthias Kapischke1*, Alexandra Pries2 and Amke Caliebe2

Author Affiliations

1 Department of Surgery, Klinik St. Georg, Lohmuehlenstrasse 05, D-20099 Hamburg, Germany

2 Institute for Medical Informatics and Statistics, Bldg 31, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold Heller Strasse 03, D-24105 Kiel, Germany

For all author emails, please log on.

BMC Pediatrics 2013, 13:154  doi:10.1186/1471-2431-13-154

Published: 1 October 2013

Abstract

Background

A comparative study was performed to compare quality of life after laparoscopic and open appendectomy in children and adolescents in a German General Hospital. The same study population was re-evaluated regarding their quality of life several years after operation.

Methods

Children and adolescents (nā€‰=ā€‰158) who underwent appendectomy for acute appendicitis between 1999 and 2001 were retrospectively analysed. Seven years after surgery those patients were interviewed applying a SF-36 questionnaire regarding their quality of life.

Results

For short term outcomes there was a trend towards reduced specific postoperative complications in the laparoscopically operated group (9.3 vs. 10.7%). Significantly more patients in the laparoscopic group would recommend the operation procedure to family members or friends than in the open group. Among the evaluated patients there was a significantly higher satisfaction concerning size and appearance of their scars in the laparoscopic group. The results of the evaluation in the eight categories of the SF-36 showed similar results in both groups.

Conclusions

More patients with laparoscopic appendectomy appeared to be satisfied with their operation method as becomes evident by a higher recommendation rate and a higher satisfaction concerning their scars.

Keywords:
Appendectomy; Paediatric surgery; Quality of life; SF-36