Objective: To assess and compare the post-operative outcomes of open and laparoscopic appendicectomy in children. VSports手机版.

Design: Record linkage analysis of administrative hospital (Admitted Patient Data Collection) and emergency department (Emergency Department Data Collection) data V体育安卓版. Participants, setting: Children under 16 years of age who underwent an appendicectomy in a public or private hospital in New South Wales between January 2002 and December 2013. .

Main outcome measures: Association between type of appendicectomy and post-operative complications within 28 days of discharge, adjusted for patient characteristics and type of hospital. V体育ios版.

Results: Of 23 961 children who underwent appendicectomy, 19 336 (81%) had uncomplicated appendicitis and 4625 (19%) had appendicitis complicated by abscess, perforation, or peritonitis. The proportion of laparoscopic appendicectomies increased from 11. 8% in 2002 to 85. 8% in 2013. In cases of uncomplicated appendicitis, laparoscopic appendicectomy was associated with more post-operative complications (mostly symptomatic re-admissions or emergency department presentations) than open appendicectomy (7. 4% v 5. 8%), but with a reduced risk of post-operative intestinal obstruction (adjusted odds ratio [aOR], 0. 59; 95% CI, 0. 36-0. 97). For cases of complicated appendicitis, the risk of wound infections was lower for laparoscopic appendicectomy (aOR, 0. 67; 95% CI, 0 VSports最新版本. 50-0. 90), but not the risks of intestinal obstruction (aOR, 0. 97; 95% CI, 0. 62-1. 52) or intra-abdominal abscess (aOR, 1. 06; 95% CI, 0. 72-1. 55). .

Conclusion: Post-appendicectomy outcomes were similar for most age groups and hospital types. Children with uncomplicated appendicitis have lower risk of post-operative bowel obstruction after laparoscopic appendicectomy than after open appendicectomy, but may be discharged before their post-operative symptoms have adequately resolved. V体育平台登录.