Initially we needed as average operating time of 65 minutes. After the initial phase the operating time decreases to 25 to 40 minutes and was comparable with the conventional appendicectomy.
Intra operatively we found adhesions to the Rt. tube in One case. Dense adhesions to the small bowel mesentery in 3 cases. Pelvic abscess in 1case.
Among 118 pediatric cases of laparoscopic appendectomies we converted only three Cases (2.5 %) due to pelvic abscess and dense adhesions to the small bowel mesentery in late appendicular mass.
Average length of hospitalization was maximum 3 days. Most of the patient discharged on the first postoperative day after the breakfast even though some of the parents wants to stay more of their own.
1. Contrary to the initial idea that a Laparoscopic appendectomy can be performed only in the case of chronically inflamed or normal appendix. We successfully Employed this method independent from its Intra operative position and inflammation.
2. We have found from our series that Laparoscopic appendectomy in children is a safe successful and effective method having high cosmetic and less morbidity.
Dr. S. Navaneethakrishnan, MS., FICS. ,
FAIS Professor of Surgery,
Rajah Muthiah Medical College,
Annamalai Nagar, Chidambaram.