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: Yılda 4 Sayı
  • Başlangıç: 1963
  • Yayıncı: Cahfer GÜLOĞLU
Sayıdaki Diğer Makaleler

Eksfoliatif glokom ve eksfoliatif sendromlu hastalarda hematolojik enflamatuar parametrelerin karşılaştırılması

Mine KARAHAN, Atılım Armağan DEMİRTAŞ

Çocuklarda Laparoskopik Apendektomiden Açık Cerrahiye Geçiş Nedenleri: İlk 100 Vaka Deneyimİ

Ahmet Gökhan GÜLER, Mehmet Fatih YAZAR, Ali Erdal KARAKAYA, Ahmet Burak DOĞAN

Apoptotic and Anti-inflammatory Effects of Hypericum Perforatum Extract in Human Basal Cell Carcinoma TE 354.T Cell Line

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

Türk Popülasyonunda ABCC2 İlaç Taşıyıcı Genin 1249G>A Genetik Varyasyonunun Araştırılması

Zuhal UÇKUN ŞAHİNOĞULLARI

Yüksek septal deviasyonda, septal inceltme ve bilateral spreader greftin internal nasal valv açısına etkisinin radyolojik olarak incelenmesi

Rana KAPUKAYA, Asena Ayça ÖZDEMİR

İlk Anjiografisi Negatif Olan Spontan Subaraknoid Kanamalarda Anjiografi Tekrarının Gereksinimi Nedir?

Ayça ÖZKUL, Abdullah TOPCU

Çeşitli Klinik Örneklerden İzole Edilen Stenotrophomonas maltophilia Suşlarının Dağılımı ve Antimikrobiyal Duyarlılıkları: 8 Yılık Çalışma

İlkay BAHÇECİ, Uğur KOSTAKOGLU, Ömer Faruk DURAN, İlknur Esen YILDIZ, Aziz Ramazan DİLEK

Akut Koroner Sendrom Hastalarında Syntax Skoru İle Epikardiyal Yağ Doku Arasındaki İlişki

Adem ATICI, Fatih ÖZTÜRK, Yunus Emre OKUDAN, Ali Yaşar KILINÇ, Mehmet YAMAN, Hakkı ŞİMŞEK, Koray DEMİR, Serkan AKDAĞ

İleri Evre Medüller Tiroid Kanseri Tedavisinde Tirozin Kinaz İnhibitörü Kullanımı-Tek Merkez Deneyimi

Senar EBINC, Zeynep ORUÇ, Zuhat URAKÇI, Muhammet Ali KAPLAN, Mehmet KÜÇÜKÖNER, Abdurrahman IŞIKDOĞAN

Akut İskemik İnmede İntravenöz Trombolitik Tedavi: Türkiye'deki Üçüncü Basamak Bir Hastanenin Deneyimleri

Murat YILMAZ, Handan TEKER, Merve ÖNERLİ YENER, Muhammed Nur ÖGÜN, Edip GÜLTEKİN