Laparoscopic appendectomy is associated with lower morbidity in extremely obese XXXX .

@entity1 @entity697 @entity698 @entity28 @entity282
PURPOSE: In recent years there has been worldwide increase in childhood @entity28 . However, in the beginning laparoscopic appendectomy in @entity28 @entity1 was contraindicated, now it is commonly used for the treatment of @entity698 . The purpose of this study was to compare open versus laparoscopic @entity28 @entity1 . METHODS: The hospital records of 1,383 consecutive @entity1 , who underwent appendectomy for @entity697 between 2000 and 2009 were analyzed. 238 @entity1 (17.2%) were @entity28 . @entity28 was defined, as greater than 2 standard deviations above the standardized mean weight for age. 61 of 238 (25.6%) @entity1 had open appendectomy and 177 (74.3%) underwent laparoscopic appendectomy. The length of hospital stay, operation time, complication rate and frequency of taking @entity282 relief were compared between open and laparoscopic @entity28 @entity1 . RESULTS: The incidence of complicated and non-complicated @entity698 was similar both in open and laparoscopic appendectomy group. Laparoscopic appendectomy for @entity697 in @entity28 @entity1 is associated with significantly shorter operating time (46.8 vs. 59.87 min, P < 0.05), lower overall complication rate (5 vs. 8.2%, P < 0.05) and lesser postoperative analgesia requirement (6.97  vs. 4.73 , P < 0.05). CONCLUSION: Laparoscopic appendectomy should be the procedure of choice for the treatment of @entity697 in @entity28 @entity1 .
