AUTHOR=Liu Tao , Wu Yibo , Xu Weijue , Liu Jiangbin , Sheng Qingfeng , Lv Zhibao 

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

JOURNAL=Frontiers in Pediatrics

VOLUME=Volume 10 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.966839

DOI=10.3389/fped.2022.966839

ISSN=2296-2360

ABSTRACT=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 (16618+2174 vs.14301+5206, 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.
Conclusions: 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.