Short term and long term results after open vs. laparoscopic appendectomy in childhood and adolescence: a subgroup analysis

Matthias Kapischke, Alexandra Pries, Amke Caliebe, Matthias Kapischke, Alexandra Pries, Amke Caliebe

Abstract

Background: A comparative study was performed to compare quality of life after laparoscopic and open appendectomy in children and adolescents in a German General Hospital. The same study population was re-evaluated regarding their quality of life several years after operation.

Methods: Children and adolescents (n = 158) who underwent appendectomy for acute appendicitis between 1999 and 2001 were retrospectively analysed. Seven years after surgery those patients were interviewed applying a SF-36 questionnaire regarding their quality of life.

Results: For short term outcomes there was a trend towards reduced specific postoperative complications in the laparoscopically operated group (9.3 vs. 10.7%). Significantly more patients in the laparoscopic group would recommend the operation procedure to family members or friends than in the open group. Among the evaluated patients there was a significantly higher satisfaction concerning size and appearance of their scars in the laparoscopic group. The results of the evaluation in the eight categories of the SF-36 showed similar results in both groups.

Conclusions: More patients with laparoscopic appendectomy appeared to be satisfied with their operation method as becomes evident by a higher recommendation rate and a higher satisfaction concerning their scars.

Figures

Figure 1
Figure 1
Readiness and satisfaction. A) Readiness to recommend the experienced operation procedure to relatives and friends; 1: not at all, 2: few, 3: moderate, 4: very. B) Postoperative satisfaction with appearance and size of the scar: 2: minimal satisfaction, 8: maximal satisfaction.
Figure 2
Figure 2
Results of the SF-36 questionnaire in the OA and LA groups. Phfu: physical functioning, phrf: physical role functioning, bopa: bodily pain, gehp: general health perceptions, vita: vitality, sorf: social role functioning, emrf: emotional role functioning, mehe: mental health, CI: confidence interval.

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