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| Clinical features of intestinal obstruction after laparoscopic appendectomy in children |
| CHEN Long LI Xianling LIU Tingting |
| Department of Emergency, Beijing Children’s Hospital, Capital Medical University, Beijing 100045, China |
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Abstract Objective To investigate clinical features of intestinal obstruction after laparoscopic appendectomy in children. Methods Clinical data of 1571 cases of laparoscopic appendectomy in Beijing Children’s Hospital, Capital Medical University from August 2013 to February 2019 were retrospectively analyzed. The children were divided into perforated group and non perforated group according to whether the appendix was perforated or not. The incidence of postoperative intestinal obstruction was compared between two groups. According to the age, the children were divided into infant group, preschool group, school-age group and adolescent group. The incidence of intestinal obstruction in different age groups was compared. Results There was significant difference in the incidence of postoperative intestinal obstruction between perforated group and non perforated group (P < 0.05). The incidence of postoperative intestinal obstruction in different age groups was significantly different (P < 0.05). The incidence of postoperative intestinal obstruction in adolescent group was lower than that in infant group (P < 0.05). The incidences of postoperative intestinal obstruction in school-age group and adolescent group were lower than those in preschool group (P < 0.05). Conclusion Improving the early diagnosis rate of appendicitis in children, especially the diagnosis of appendicitis in pre-school age children, timely operation intervention before appendix perforation can reduce the incidence of postoperative intestinal obstruction.
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[1] 王宇鹏，吴晔明.腹腔镜治疗儿童阑尾炎的系统评价[J].中华小儿外科杂志，2008，29（5）：317-320.
[2] Esposito C，Borzi P，Valla JS，et al. Laparoscopic versus open appendectomy in children：a retrospective comparative study of 2332 cases [J]. World J Surg，2007，31（4）：750-755.
[3] Yu MC，Feng YJ，Wang W，et al. Is laparoscopic appendectomy feasible for complicated appendicitis？ A systematic review and meta-analysis [J]. Int J Surg，2017，40：187-197.
[4] 江载芳，申昆玲，沈颖.诸福棠实用儿科学[M].8版.北京：人民卫生出版社，2014：3-4.
[5] 陈孝平，汪建平，赵继宗.外科学[M].9版.北京：人民卫生出版社，2018：360-361.
[6] 姬静，陈丽波，孙志霞，等.B型超声在肠梗阻诊断中的应用[J].中国实验诊断学，2007，11（9）：1258-1259.
[7] Omling E，Sal?觟 M，Saluja S，et al. Nationwide study of appendicitis in children [J]. Br J Surg，2019，106：1623-1631.
[8] 郝发宝，郭春宝，张明满，等.儿童阑尾炎术后肠梗阻分析[J].重庆医学，2018，47（23）：3047-3049，3053.
[9] 余世耀，施诚仁，潘伟华，等.儿童急性阑炎若干临床问题20年回顾分析[J].中华小儿外科杂志，2004，25（2）：112-115.
[10] H?覽kanson CA，Fredriksson F，Lilja HE. Adhesive small bowel obstruction after appendectomy in children–Laparoscopic versus open approach [J]. J Pediatr Surg，2020，S0022-3468（20）：30149-30154.
[11] Jen HC，Shew SB. Laparoscopic versus open appendectomy in children：outcomes comparison based on a statewide analysis [J]. J Surg Res，2010，161（1）：13-17.
[12] Kaselas C，Molinaro F，Lacreuse I，et al. Postoperative bowel obstruction after laparoscopic and open appendectomy in children：a 15-year experience [J]. J Pediatr Surg，2009，44（8）：1581-1585.
[13] Markar SR，Blackburn S，Cobb R，et al. Laparoscopic versus open appendectomy for complicated and uncomplicated appendicitis in children [J]. J Gastrointest Surg，2012，16（10）：1993-2004.
[14] Esposito C，Calvo AI，Castagnetti M，et al. Open versus laparoscopic appendectomy in the pediatric population：a literature review and analysis of complications [J]. J Laparoendosc Adv Surg Tech A，2012，22（8）：834-839.
[15] Aziz O，Athanasiou T，Tekkis PP，et al. Laparoscopic versus open appendectomy in children：a meta-analysis [J]. Ann Surg，2006，243（1）：17-27.
[16] Tseng CJ，Sun DP，Lee IC，et al. Factors associated with small bowel obstruction following appendectomy：a population-based study [J]. Medicine（Baltimore），2016，95（18）：e3541.
[17] Tabchouri N，Dussart D，Giger-Pabst U，et al. Only surgical treatment to be considered for adhesive small bowel obstruction：a new paradigm [J]. Gastroenterol Res Pract，2018，2018：9628490.
[18] Wessels LE，Calvo RY，Dunne CE，et al. Outcomes in adhesive small bowel obstruction from a large statewide database：what to expect after nonoperative management [J]. J Trauma Acute Care Surg，2019，86（4）：651-657.
[19] Deng Y，Wang Y，Guo C. Prediction of surgical management for operated adhesive postoperative small bowel obstruction in a pediatric population [J]. Medicine（Baltimore），2019，98（11）：e14919.
[20] Nofal MN，Yousef AJ，Hamdan FF，et al. Characteristics of trocar site hernia after laparoscopic cholecystectomy [J]. Sci Rep，2020，10（1）：2868.
[21] Zhu YP，Liang S，Zhu L，et al. Trocar-site hernia after gynecological laparoscopic surgery：a 20-year，single-center experience [J]. Chin Med J（Engl），2019，132（22）：2677-2683.
[22] Chatzimavroudis G，Papaziogas B，Galanis I，et al. Trocar site hernia following laparoscopic cholecystectomy：a 10-year single center experience [J]. Hernia，2017，21（6）：925-932.
[23] Helgstrand F，Rosenberg J，Bisgaard T. Trocar site hernia after laparoscopic surgery：a qualitative systematic review [J]. Hernia，2011，15（2）：113-121.
[24] Almaramhy HH. Acute appendicitis in young children less than 5 years：review article [J]. Ital J Pediatr，2017，43（1）：15.
[25] Song CW，Kang JW，Kim JY. Different clinical features and lower scores in clinical scoring systems for appendicitis in preschool children：comparison with school age onset [J]. Pediatr Gastroenterol Hepatol Nutr，2018，21（1）：51-58.
[26] Mallick MS. Appendicitis in pre-school children：a continuing clinical challenge. A retrospective study [J]. Int J Surg，2008，6（5）：371-373.
[27] Williams N，Kapila L. Acute appendicitis in the preschool child [J]. Arch Dis Child，1991，66（11）：1270-1272.
[28] Strik C，Stommel MW，Schipper LJ，et al. Long-term impact of adhesions on bowel obstruction [J]. Surgery，2016，159（5）：1351-1359. |
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