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Emergency Laparoscopic Appendicectomy in Children: The Results in Trainees Hands (Abstract)

Panteli C, Desai A, Manoharan S, Bouhadiba N, Singh S, Tsang T

Department of Paediatric Surgery, Norfolk and Norwich University Hospital,
Norwich, UK



Background: Laparoscopic appendicectomy has been increasingly practiced in children in recent years and is currently a common procedure. The aim of this study was to assess the trainees’ performance in emergency laparoscopic appendicectomy.

Materials and Methods: The hospital records of children who underwent emergency laparoscopic appendicectomy performed by trainees, between 1996 and 2005 were reviewed. Patient demographics, operative findings and duration, usage of antibiotics, duration of hospital stay, complications and follow up were recorded. Surgeons’ data including year of training, previous experience in laparoscopic procedures and the grade and experience of 1st assistant were also noted.

Results: Eighty-six children, 44 boys and 42 girls with median age of 12 years (range 6-16 years) underwent laparoscopic appendicectomy performed by trainees during the above period. Twelve patients were found to have a normal appendix, whereas 44 and 30 had acute and advanced appendicitis respectively. Overall, the mean operative time was 72 minutes and the mean length of hospital stay 3.32 days. Two procedures were converted to open appendicectomy. There were 6 postoperative complications.

Conclusions: Laparoscopic appendicectomy is a safe and effective procedure performed by trainees and it serves a good training opportunity for development of laparoscopic skills. Trainees’ performance, according to the individual experience, followed the anticipated learning curve.

Key words: laparoscopic appendicectomy, children, trainees


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