Treatment Strategy for Complicated Pediatric Appendicitis Based on Laparoscopic Surgery. Ten Years of Multicenter Cohort Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 765
- 试验地点
- 1
- 主要终点
- Primary outcomes
研究概览
简要总结
Observational retrospective study included 765 children with Operative management by laparoscopic appendectomy, conservative management for appendicular mass and drainage of abscess by IR should be tried first. Interval appendectomy is reserved only for patients with recurrent symptoms. the study collect the Diagnostic data ,intraoperative and post operative data to submit the strategies of laparoscopic management in limited resources setting.
详细描述
Background and study aims: In children with complicated appendicitis significant morbidity exists with prolonged hospitalization and increased costs. The management strategy for complicated pediatric appendicitis differs depending on facility resources together with surgeon's experience. Various studies investigated the usefulness of laparoscopic than open surgery even in complicated appendicitis. However, the treatment strategy remains controversial, especially in appendicular mass as well as appendicular abscess.
Methods: This observational study included 765 children with complicated appendicitis. over 10 years period. Patients' demographics, clinical criteria for different presentations of complicated appendicitis, diagnostic work up, plans of treatment based on laparoscopic management were reviewed and analyzed regarding different variables and postoperative outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- — 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •laparoscopic management of Complicated Appendicitis with mass formation
- •laparoscopic management of Complicated appendicitis with abscess formation:
- •laparoscopic management of Complicated appendicitis with free intraperitoneal collection
排除标准
- •Open surgery cases
- •Patients received incomplete antibiotic therapy
- •Accidental discovery coexistent pathology that necessitates open surgery
研究组 & 干预措施
Complicated Appendicitis
Complicated appendicitis: refer to acute appendicitis with perforation or gangrene, appendicular mass with or without abdominal abscess formation submitted for laparoscopic management with appendectomy and intraperitoneal suction of pus over the last 10 years
干预措施: laparoscopic appendectomy (Procedure)
结局指标
主要结局
Primary outcomes
时间窗: 4 years
postoperative outcomes any alarming symptoms of intestinal obstruction developed (vomiting, fever, or severe abdominal pain, intraperitoneal collections
次要结局
未报告次要终点
研究者
Mohammad Daboos
Assistant professor of pediatric surgery, Faculty of Medicine, Al-Azhar University
Al-Azhar University