Transumbilical laparoscopically assisted extracorporeal appendectomy in children and young adults: A retrospective cohort study.
BACKGROUND
To compare surgical outcomes of pediatric patients aged 0-15 with acute appendicitis treated with single-port, transumbilical, extracorporeal laparoscopically assisted appendectomy (SP) with young adult patients aged 16-21.


METHODS
Single center retrospective chart review in patients 21 years and younger with a pre-operative diagnosis of appendicitis who underwent SP between January 2010 and December 2015. Patients were divided into two groups based on age. Operative time (OT), length of stay (LOS), cost, rates of conversion to standard three-port laparoscopic appendectomy (TP), and rates of infection were compared between the groups.


RESULTS
SP was performed in a total of 263 patients: 211 in pediatric patients aged 0-15 and 52 in patients aged 16-21. Age groups did not differ significantly on cost, LOS, operative time, rates of conversion to TP, or rates of infection.


CONCLUSIONS
SP has comparable surgical outcomes in adolescent, adult, and pediatric patients.
School of Medicine, Case Western Reserve University, 2109 Adelbert Rd, Cleveland, OH 44106, USA. Electronic address: axm755@case.edu.
Arathi
A
Mohan
Department of Pediatric Surgery, Cleveland Clinic Children's Hospital, 9500 Euclid Avenue/A120, Cleveland, OH 44195, USA. Electronic address: karamp@ccf.org.
Paul A
PA
Karam
Department of Surgery, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, 82-68 164th St., Jamaica, NY 11432, USA. Electronic address: martinbuta@gmail.com.
Martin R
MR
Buta
Department of Quantitative Health Sciences, Cleveland Clinic Foundation, 9500 Euclid Avenue/JJN3, Cleveland, OH 44195, USA. Electronic address: worleys@ccf.org.
Sarah
S
Worley
Department of Pediatric Surgery, Cleveland Clinic Children's Hospital, 9500 Euclid Avenue/A120, Cleveland, OH 44195, USA. Electronic address: federico.seifarth@gmx.net.
Federico G
FG
Seifarth
D000293:Adolescent; D000328:Adult; D001062:Appendectomy / Q000379:methods*; D001064:Appendicitis / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D012189:Retrospective Studies; D014472:Umbilicus; D055815:Young Adult
Adult; Appendectomy; Appendicitis; Laparoscopic; Pediatric; Single port