212 INITIAL EXPERIENCE OF LAPAROSCOPIC APPENDECTOMY IN PEDIATRIC POPULATION AT TERTIARY CARE HOSPITAL IN A DEVELOPING COUNTRY
SAQIB HAMID QAZI, BAKHTAWAR DILAWAR, SOHAIL ASGHAR DOGAR
AGA KHAN UNIVERSITY, KARACHI, Pakistan

Abstract

BACKGROUND:

Laparoscopic appendectomy is common in adult population, but is not widely practiced in the pediatric population in our part of world. The aim of this study to assess the proportion of laparoscopic appendectomy and outcomes of laparoscopic appendectomy over a time period from 2012-2016.

 

MATERIALS AND METHODS:


ERC Approval Taken (ERC # 4690-SUR-ERC-17)
All children ages (4-16yrs) who underwent laparoscopic appendectomy from Jan 2012-Dec 2016 were included in the study. Patient demographics, operative details, length of hospital stay, drain placement, duration of surgery, histopathology and complications were recorded in pro forma.

 

RESULTS:

118 patients were included in the study and there is no linear trend of laparoscopic appendectomy is seen over time period from 2012-2016 and done by single surgeon (as only one surgeons performs Laparoscopic Appendectomy). 69% of patients were male and 31% were female with mean age 12.6 years and mean length of hospital stay 2.48 days. Mean duration of surgery is 64.6 (SD 27.4) minutes which have improved over time. Only 1 (o. 8%) of the case was converted to open. The negative appendectomy rate was 8.5% in our study. The  complication rate was 4.2%.

 

CONCLUSION:

Trend of laparoscopic appendectomy is not increasing in our institution. It remained static over time period from 2012-2016 Results of our study are comparable to adults as well as with international data. Limitations of the study include small sample size, single centre study, single surgeon experience)


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