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Surgical Innovation
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Laparoscopic Appendectomy in Children

Martin L. Blakely, MD

Section of Pediatric Surgery, Department of Surgeg, University of Tennessee, Memphis, Le Bonheur Children's Medical Center, Memphis, TN

William W Spurbeck, MD

Section of Pediatric Surgery, Department of Surgeg, University of Tennessee, Memphis, Le Bonheur Children's Medical Center, Memphis, TN

Shankar Laksman, BS

Section of Pediatric Surgery, Department of Surgeg, University of Tennessee, Memphis, Le Bonheur Children's Medical Center, Memphis, TN

Keith Hanna, MD

Section of Pediatric Surgery, Department of Surgeg, University of Tennessee, Memphis, Le Bonheur Children's Medical Center, Memphis, TN

Kurt P. Schropp, MD

Section of Pediatric Surgery, Department of Surgeg, University of Tennessee, Memphis, Le Bonheur Children's Medical Center, Memphis, TN

Thom E Lobe, MD

Section of Pediatric Surgery, Department of Surgeg, University of Tennessee, Memphis, Le Bonheur Children's Medical Center, Memphis, TN

Laparoscopic appendectomy is a common surgery in most pediatric surgical centers. Many studies, mostly retrospective reviews in adults, show the advantages of the laparoscopic approach to be less wound infections, shortened postoperative recovery, and faster return to normal activities. In addition, less analgesic medication is required postoperatively. Potential disadvantages of laparoscopic appendectomy include an increased operative time, elevated costs when disposable instruments are used, and possibly more infectious complications when performed for complicated appendicitis. There are no prospective, randomized trials comparing laparoscopic versus open appendectomy in children. Until these studies are completed, questions will persist regarding the benefits of laparoscopic appendectomy in children. Copyright@ 1998 by W B. Saunders Company

Key Words: Laparoscopy • appendicitis • pediatrics.

Surgical Innovation, Vol. 5, No. 1, 14-18 (1998)
DOI: 10.1177/155335069800500104
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