We notice that the safety of ambulatory Laparoscopic Cholecystectomy in the children under 12 have more risk of complication than adult.
J Pediatr Surg. 2013 Sep;48(9):1941-5. doi: 10.1016/j.jpedsurg.2012.12.039.
Laparoscopy utilization and outcomes for appendicitis in small children.
Zwintscher NP, Johnson EK, Martin MJ, Newton CR.
Author information Department of Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA. Electronic address: [email protected].
Abstract
PURPOSE: To examine the trends in laparoscopic appendectomy (LA) utilization and outcomes for children 5 years or younger.
METHODS: We studied 16,028 inpatient admissions for children 5 years of age or less undergoing an appendectomy for acute appendicitis in 2000, 2003, and 2006 using the Kids' Inpatient Database (KID). Laparoscopy frequency, hospital length of stay, and complications were reviewed.
RESULTS: In 2000, 2003 and 2006 appendectomies were done laparoscopically 11.4%, 18.7% and 31.3% of the time, respectively. Children were more likely to undergo LA at a children's hospital (P
Why not? We performed many cases at 5 years of age with good result.
We have not found differences in complication rates between symptomatic small and older children after lap cholecystectomy. But, according to the abstract you have attached, you are talking about lap appy...?
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