The reasons for conversion from laparoscopic appendectomy to open surgery in children: the first experience on 100 cases in a single center

Objective: This study aimed to discuss the reasons for conversion in light of the literature and reduce any unnecessary conversion to open procedure, according to our clinic's results during the learning curve. Methods: A retrospective review was performed on 100 patients who had a laparoscopic appendectomy in our clinic between September 2014 and August 2019. The patients who had a laparoscopic appendectomy were evaluated for conversion to open procedure by reviewing the age, gender, white blood cell count (WBC), and surgical findings (location of the appendix, perforation status, peritonitis). Laparoscopy was performed through two ports. Results: The age average of 100 patients, including 63 males who have undergone a laparoscopic appendectomy, was 10.86 ± 3.78 years. The laparoscopic technique was converted to open in nine children. WBC ratio of the patients was significantly higher in converted procedures. Among the procedures converted to open appendectomy, three patients presented retrocecal appendix placement; two patients presented retrocecal placement and perforation and diffuse peritonitis; three patients presented perforation and diffuse peritonitis, and one patient presented uncontrolled bleeding. Conclusion: The use of laparoscopic appendectomy has just increased in Pediatric Surgery clinics along with some factors that affect the conversion to open procedure. WBC ratio was significantly higher in converted procedures. When study results are reviewed from this perspective, perforation, diffuse peritonitis, and the appendix's retrocecal location are the most significant independent indicators for conversion from laparotomic procedure to open procedure.

___

  • 1. Masurkar AA. Laparoscopic Trans-Abdominal Retromuscular (TARM) Repair for Ventral Hernia: A Novel, Low-Cost Technique for Sublay and Posterior Component Separation. World J Surg. 2020; 44: 1081-5.
  • 2. Semm K. Endoscopic appendectomy. Endoscopy.1983; 15: 59–64.
Dicle Tıp Dergisi-Cover
  • ISSN: 1300-2945
  • Yayın Aralığı: 4
  • Başlangıç: 1963
  • Yayıncı: Cahfer GÜLOĞLU
Sayıdaki Diğer Makaleler

The reasons for conversion from laparoscopic appendectomy to open surgery in children: the first experience on 100 cases in a single center

Ali Erdal KARAKAYA

İnsan Bazal Hücreli Karsinom TE 354.T Hücre Hattında Hypericum Perforatum Ekstraktının Apoptotik ve Antiinflamatuvar Etkileri

Ebru ÇELİK, Halil Mahir KAPLAN, Ergin ŞİNGİRİK, Muhammed Salih ÇELİK, Harun ALP

Comparison of hematological inflammatory parameters in patients with exfoliative glaucoma and exfoliative syndrome

Atılım Armağan DEMİRTAŞ, Mine KARAHAN

Erişkin Yabancı Cisim Aspirasyon Şüpheli Olguların Yönetimi

Şeyma YILMAZ, İrfan CHOUSEİN, Binnaz Zeynep YILDIRIM, Mehmet Akif ÖZGÜL, Efsun Gonca UĞUR CHOUSEİN, Demet TURAN, Elif TANRIVERDİ, Erdoğan ÇETİNKAYA

Akut Menenjitli Çocuk Hastaların Retrospektif Değerlendirilmesi; 8 Yıllık Deneyim

Ahmet NERGİZ, Ahmet KAN, Kamil YILMAZ

The reasons for conversion from laparoscopic appendectomy to open surgery in children: the first experience on 100 cases in a single

Ali Erdal KARAKAYA, AHMET GÖKHAN GÜLER, Ahmet Burak DOĞAN, Fatih YAZAR

Management of Adults With Suspected Foreign Body Aspiration

Efsun UĞUR, Elif TANRIVERDİ, Demet TURAN, Binnaz YILDIRIM, Şeyma YILMAZ, İrfan CHOUSEİN, Mehmet Akif ÖZGÜL, Erdoğan ÇETİNKAYA

Kronik Otitis Media’da Tiyol-Disülfid Homeostazının Değişikliği

Muhammed AYRAL, Serdar Ferit TOPRAK, Serkan DEDEOĞLU, İlhan SABANCILAR, Hakan TEMİZ

Mutation Analysis of Beta-Thalassemia Major Patients and Their Parents in Diyarbakir Province, Turkey

Cemal POLAT, Nuriye METE, Murat SÖKER

Eksfoliatif glokom ve eksfoliatif sendromlu hastalarda hematolojik enflamatuar parametrelerin karşılaştırılması

Mine KARAHAN, Atılım Armağan DEMİRTAŞ