ArticlePediatric surgery international2011
Laparoscopic appendectomy is associated with lower morbidity in extremely obese children.
Article in Pediatric surgery international, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
8 citing papers in PubMed, 27 citations in OpenAlex.
- Laparoscopic Appendectomy in Children: Tunisian Experience.Turkish archives of pediatrics · 2024Article
- The Impact of Obesity on Perioperative Outcomes for Children Undergoing Appendectomy for Acute Appendicitis: A Systematic Review.Journal of clinical medicine · 2023Review
- The influence of underweight and obesity on the diagnosis and treatment of appendicitis in children.International journal of colorectal disease · 2016Article
- Laparoscopic versus open appendectomy in obese patients: A meta-analysis of prospective and retrospective studies.Journal of minimal access surgery · 2014Review
- Laparoscopic appendectomy in children: experience in a single centre in chittagong, bangladesh.Minimally invasive surgery · 2014Article
- The role of laparoscopy in suspicious abdomen pain in children.Pakistan journal of medical sciences · 2013Article
- Appendicitis in obese children.Pediatric surgery international · 2013Review
- Laparoscopic Extracorporeal Appendectomy in Overweight and Obese Children.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn recent years there has been worldwide increase in childhood obesity. However, in the beginning laparoscopic appendectomy in obese children was contraindicated, now it is commonly used for the treatment of appendicitis. The purpose of this study was to compare open versus laparoscopic appendectomy in extremely obese children.
methodsThe hospital records of 1,383 consecutive patients, who underwent appendectomy for acute appendicitis between 2000 and 2009 were analyzed. 238 children (17.2%) were extremely obese. Extremely obese was defined, as greater than 2 standard deviations above the standardized mean weight for age. 61 of 238 (25.6%) patients had open appendectomy and 177 (74.3%) underwent laparoscopic appendectomy. The length of hospital stay, operation time, complication rate and frequency of taking postoperative pain relief were compared between open and laparoscopic appendectomy in extremely obese children.
resultsThe incidence of complicated and non-complicated appendicitis was similar both in open and laparoscopic appendectomy group. Laparoscopic appendectomy for acute appendicitis in extremely obese children is associated with significantly shorter operating time (46.8 vs. 59.87 min, P < 0.05), lower overall complication rate (5 vs. 8.2%, P < 0.05) and lesser postoperative analgesia requirement (6.97× vs. 4.73×, P < 0.05).
conclusionLaparoscopic appendectomy should be the procedure of choice for the treatment of acute appendicitis in extremely obese children.
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