ArticleCureus2025
Paediatric Appendicectomy in a UK District General Hospital: Retrospective Analysis of Laparoscopic Versus Open Approaches Performed by Non-Paediatric Specialist General Surgeons.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background Acute appendicitis remains the most frequent paediatric surgical emergency worldwide. Although laparoscopic appendicectomy has progressively supplanted the traditional open approach in specialist paediatric centres, evidence regarding its outcomes in non-specialist District General Hospitals remains limited. In such settings, appendicectomies in children are frequently performed by general surgeons, introducing potential variability in outcomes related to surgeon experience and institutional resources. Methods A retrospective cohort study was conducted at Wrightington, Wigan and Leigh NHS Foundation Trust, United Kingdom. All patients aged ≤16 years who underwent emergency appendicectomy for suspected acute appendicitis between 1st January 2016 and 31st August 2025 were included. The primary outcome was the immediate postoperative complications within the same admission and a 30-day postoperative admission rate, including surgical site infection, intra-abdominal abscess, and postoperative ileus. Secondary outcomes included operative duration, length of hospital stay, and conversion rate. Statistical analysis was performed using SPSS v28.0. A p-value <0.05 was considered statistically significant. Results A total of 254 paediatric patients underwent appendicectomy for suspected acute appendicitis between January 2016 and August 2025. Following exclusion of incomplete records, 237 patients were included in the final analysis, comprising 199 (84.0%) open appendicectomies (OA), 36 (15.2%) laparoscopic appendicectomies (LA), and 2 (0.8%) laparoscopic procedures converted to open. The mean patient age was 10.9 ± 2.7 years, with a male predominance (63.3%). The mean American Society of Anesthesiologists (ASA) grade was 1.21 in the OA group and 1.25 in the LA group. Preoperative imaging was performed in 101 (42.6%) cases, most commonly ultrasound, with comparable diagnostic accuracy between groups (
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