Outcomes after appendectomy in children with acute appendicitis treated at a tertiary paediatric centre
| Autor: | Max Knaapen, Paul van Amstel, Tim van Amstel, Sarah-May M. L. The, Roel Bakx, Ernest L. W. E. van Heurn, Ramon R. Gorter |
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| Přispěvatelé: | Pediatrics, Surgery, Amsterdam Reproduction & Development (AR&D), Other Research, Graduate School, Paediatric Surgery, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, ARD - Amsterdam Reproduction and Development |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pediatrics Adolescent Appendix Post-appendectomy complications 03 medical and health sciences 0302 clinical medicine Paediatric surgery medicine Humans Appendectomy 030212 general & internal medicine Child Retrospective Studies business.industry Incidence (epidemiology) Infant Newborn Infant Retrospective cohort study Vascular surgery medicine.disease Appendicitis medicine.anatomical_structure Cardiothoracic surgery 030220 oncology & carcinogenesis Child Preschool Acute Disease Surgery Original Article business Complication Abdominal surgery |
| Zdroj: | Langenbeck's Archives of Surgery Knaapen, M, van Amstel, P, van Amstel, T, The, S M M L, Bakx, R, van Heurn, E L W E & Gorter, R R 2021, ' Outcomes after appendectomy in children with acute appendicitis treated at a tertiary paediatric centre : results from a retrospective cohort study ', Langenbeck's Archives of Surgery, vol. 406, no. 1, pp. 163-169 . https://doi.org/10.1007/s00423-020-01976-y Langenbeck's Archives of Surgery, 406(1), 163-169. Springer Verlag Langenbeck s archives of surgery / Deutsche Gesellschaft fur Chirurgie, 406(1), 163-169. Springer Verlag |
| ISSN: | 1435-2443 |
| Popis: | PurposeIn general, an appendectomy is presumed to have a limited burden of disease. However, in current literature, reported complication rates vary. This study aims to provide additional insights in the incidence of post-appendectomy complications in children with acute appendicitis.MethodsThis retrospective cohort study included children (0–17 years old) that underwent appendectomy at our tertiary referral centre for suspected acute appendicitis (January 2011–December 2018). Children referred to our centre, and those that underwent non-operative treatment were excluded. Post-appendectomy complications were recorded from electronic medical charts using predefined definitions and classified as severe (Clavien-Dindo III–IV) or less severe (Clavien-Dindo I–II).ResultsA total of 131 children were included. Simple and complex appendicitis was diagnosed in 66 (50%) and 60 (46%) children, respectively. A non-inflamed appendix was seen in five (4%) children. One or more complications were identified in 33 (25%) patients. Eight (12%) children with simple appendicitis developed a complication, three of these were severe. In children with complex appendicitis, 23 (38%) children developed a complication, 14 of these were severe.ConclusionThis study shows a high rate of complications compared with current literature, both in children with simple and complex appendicitis. This is probably the result of our definition of complications and being a tertiary referral centre receiving more severe appendicitis cases. However, these results still show that appendectomy is not always a routine procedure with only few complications. Substantiating the need to keep optimizing treatment for children with appendicitis. |
| Databáze: | OpenAIRE |
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