Abstract
Appendicitis is the commonest surgical emergency in paeadtric patients. Appendicectomy is still being performed by both open and laparoscopic methods. The first laparoscopic appendicectomy was performed in 1983. Objective: To compare the outcome of open appendectomies with laparoscopic appendectomies in pediatric patients was the objective of this study. Methods: Two hundred pediatric patients of both genders with acute appendicitis were enrolled from emergency department of Pediatric Surgery, Qazi Hussain Ahmad medical complex, Nowshehra, from March 2020- December 2020. In this convenient study patients were dividing into two groups. Group A patients received open appendectomy and Group B received laparoscopic appendectomy. Outcome of both procedures were noted and compared between groups by chi square test. Results: Mean ages of patients were 10.11±2.67 and 10.01±2.31 years (p=0.796) in group A and B, respectively. There were 63.0% and 69.0% males 1) in group A and B, respectively. Mean operative time, mean hospital stay and mean VAS were26.19±8.14 vs. 36.79±11.41 min.,2.01±0.61 vs. 1.03±0.01 days and 3.67±1.41 and 6.07±2.01 (p=0.000) in group A and B, respectively. Complications were hemorrhage (0.0% vs. 0.0%; p=1.0), Iatrogenic injury (0.0% vs. 0.0%; p=1.0) and Pelvic collection (3.0% vs. 0.05; p=1.0), SSI (6.0% vs. 0.0%; p=0.00) in group A and B, respectively. None of the pediatric patients after laparoscopic appendectomy required another exploration to deal with complications however, 3.0% patients needed exploration in open appendectomy. No mortality (0.0%) was observed in any group. Conclusions: laparoscopic appendectomies in pediatric patients is safe and feasible as compared to open appendectomy
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