A retrospective study about incidental appendectomy during the laparoscopic treatment of intussusception

• Published in: Frontiers in pediatrics Vol. 10; p. 966839
• Main Authors: Liu, Tao, Wu, Yibo, Xu, Weijue, Liu, Jiangbin, Sheng, Qingfeng, Lv, Zhibao
• Format: Journal Article
• Language: English
• Published: Frontiers Media S.A 06.09.2022
• Subjects: child; incidental appendectomy; intussusception; laparoscopy; Pediatrics; surgery
• ISSN: 2296-2360; 2296-2360
• DOI: 10.3389/fped.2022.966839

Purpose We aim to see incidental appendectomy (IA) was worth or not during the laparoscopic treatment of intussusception. Methods This study included forty-eight patients who underwent a laparoscopic procedure for idiopathic intussusception without intestinal resection between April 2014 and April 2021. The Chi-square or Fisher's exact tests for categorical variables and the Student t -test for continuous variables were used to analyze and compare patient characteristics. Results IA was performed on 63% (30/48) of patients after surgical reduction, while 18 (37%), did not. Patients who underwent IA had a higher total cost (16,618 ± 2,174 vs.14,301 ± 5,206, P = 0.036), and a longer mean operation duration (59 ± 19 vs.45 ± 21, P = 0.025). The distribution of the PO time, length of hospital stay, PCs, and RI did not differ significantly. The histopathological evaluation of the 30 resected appendices revealed five (17%) with signs of acute inflammation, 20 (66%) with chronic signs of inflammation, and five (17%) with inconspicuous appendices. Conclusion IA is linked to a longer average operation time and a higher total cost. There is insufficient evidence to recommend IA during laparoscopic intussusception treatment. The risks and benefits of IA need further study.