ArticleRevista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo
IMPACT OF THE APPENDICEAL POSITION ON THE DIAGNOSIS AND TREATMENT OF PEDIATRIC APPENDICITIS.
Article in Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 22 citations in OpenAlex.
- Retrocecal Appendicitis in Children: Similar Clinical Presentations Despite Diagnostic Challenges.Pediatric emergency care · 2026Article
- Appendiceal location in Japanese children with acute appendicitis: pelvic predominance and diagnostic and operative implications.Pediatric surgery international · 2026Article
- Factors prolonging the operative time for transumbilical laparoscopic-assisted appendectomy in pediatric patients: a retrospective single-center study.Surgery today · 2025Article
- Malrotated subhepatic caecum with subhepatic appendicitis: Diagnostic dilemma: A case report.International journal of surgery case reports · 2024Article
- Are Preoperative CT Findings Useful in Predicting the Duration of Laparoscopic Appendectomy in Pediatric Patients? A Single Center Study.Journal of clinical medicine · 2024Article
- Is transumbilical laparoscopic-assisted appendectomy feasible for complicated appendicitis? A single-center experience.Pediatric surgery international · 2024Article
- Presentation management and outcome of phlegmonous and inflammed appendicitis in children in Ethiopia: retrospective review.BMC surgery · 2023Article
- The Prognostic Value of Ultrasound Findings in Preoperatively Distinguishing between Uncomplicated and Complicated Types of Pediatric Acute Appendicitis Based on Correlation with Intraoperative and Histopathological Findings.Diagnostics (Basel, Switzerland) · 2022Article
- The importance of visualization of appendix on abdominal ultrasound for the diagnosis of appendicitis in children: A quality assessment review.World journal of emergency medicine · 2020Article
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Corrections and comments
- Erratum issuedERRATUM.2020 · Novillo, Indalecio Can [corrected to Novillo, Indalecio Cano]
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate how symptoms vary according to the appendiceal position in pediatric patients and to demonstrate that the laparoscopic approach is safe and effective in any appendiceal location by comparing each location to another.
methodsThe medical records of 1,736 children aged 14 or younger who underwent laparoscopic appendectomy over a period of 14 years were analyzed retrospectively. Patients were divided according to the position of the appendiceal tip into four groups: anterior, pelvic, retrocecal and subhepatic. The Kruskal-Wallis and chi-square tests were used with the Bonferroni correction, with a significant p<0.05.
resultsThe appendiceal location was anterior in 1,366 cases, retrocecal in 248 cases, pelvic in 66 cases and subhepatic in 56 cases. There were no significant differences between the groups in terms of patient age and gender. Abdominal pain was the only symptom with statistically significant differences between the groups. The rate of perforated appendicitis was higher in the subhepatic and pelvic positions. Intraoperative complications and conversions were not statistically significant. Technical difficulties and operative time were higher in subhepatic position. The rate of postoperative complications was similar between the different locations, except for bowel obstruction, which was higher in pelvic appendicitis.
conclusionsThe clinical symptoms of appendicitis hardly ever change with the position of the appendix. The laparoscopic approach is safe and effective, regardless the appendiceal location.
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