Same-Day Discharge after Laparoscopic Appendectomy for Simple Appendicitis in Pediatric Patients—Is It Possible?
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients
2.2. Outcomes of the Study
2.3. Study Design
2.4. Surgical Technique
2.5. Postoperative Protocol and Follow-Up
2.6. Statistical Analysis
3. Results
3.1. Outcomes of Treatment
3.2. Complications
3.3. Parental Satisfaction
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Uncomplicated Acute Appendicitis | |
---|---|
Grade 0 | Macroscopically normal/histological endoappendicitis |
Grade I | Inflamed appendix (hyperemia, edema ± fibrin) |
Complicated Acute Appendicitis | |
Grade II | Necrosis
|
Grade III | Perforated–inflammatory tumor
|
Grade IV | Perforated with diffuse peritonitis |
Demographic Data | Value |
---|---|
Age (years); median (IQR) | 11 (10, 14) |
Gender; n (%) | |
Male | 115 (63.8) |
Female | 65 (46.2) |
BMI (kg/m2) (IQR) | 18.2 (15.5, 20.6) |
Symptom duration (h); median (IQR) | 24 (18, 32.5) |
AIR score; median (IQR) | 8 (7, 9) |
White blood cells (×109/L); median (IQR) | 13.7 (11.6, 15.2) |
Neutrophil count (%); median (IQR) | 81.7 (79.9, 88.5) |
C-reactive protein (mg/L); median (IQR) | 21.1 (17.4; 32.5) |
US total; n (%) | 119 (100) |
US positive; n (%) | 90 (75.6) |
Outcome | Value |
---|---|
Duration of surgery (min); median (IQR) | 20 (16, 25) |
Length of stay (h); median (IQR) | 15 (12, 19) |
Appendiceal-base closure; n (%) | |
Harmonic scalpel | 155 (86.1) |
Polymeric clip | 25 (13.9) |
Complications; n (%) | |
Intraoperative | 0 |
Postoperative | 4 (2.2) |
Readmissions; n (%) | 4 (2.2) |
Grade | n (%) (n = 4) | Total (n = 180) |
---|---|---|
I | 0 | 0 |
II | 4 (100) | 4 (2.2) |
III a | 0 | 0 |
III b | 0 | 0 |
IV a | 0 | 0 |
IV b | 0 | 0 |
V | 0 | 0 |
Parental Satisfaction | n (%) |
---|---|
Time of discharge | |
Highest | 155 (86.1) |
Mediocre | 25 (13.9) |
Bad | 0 |
Outpatient appointment | |
Highest | 175 (97.2) |
Mediocre | 5 (2.8) |
Bad | 0 |
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Jukić, M.; Tesch, A.; Todorić, J.; Šušnjar, T.; Milunović, K.P.; Barić, T.; Pogorelić, Z. Same-Day Discharge after Laparoscopic Appendectomy for Simple Appendicitis in Pediatric Patients—Is It Possible? Children 2022, 9, 1220. https://doi.org/10.3390/children9081220
Jukić M, Tesch A, Todorić J, Šušnjar T, Milunović KP, Barić T, Pogorelić Z. Same-Day Discharge after Laparoscopic Appendectomy for Simple Appendicitis in Pediatric Patients—Is It Possible? Children. 2022; 9(8):1220. https://doi.org/10.3390/children9081220
Chicago/Turabian StyleJukić, Miro, Alexander Tesch, Jakov Todorić, Tomislav Šušnjar, Klaudio Pjer Milunović, Tomislav Barić, and Zenon Pogorelić. 2022. "Same-Day Discharge after Laparoscopic Appendectomy for Simple Appendicitis in Pediatric Patients—Is It Possible?" Children 9, no. 8: 1220. https://doi.org/10.3390/children9081220