{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T14:38:24Z","timestamp":1776695904582,"version":"3.51.2"},"reference-count":11,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,2,19]],"date-time":"2018-02-19T00:00:00Z","timestamp":1518998400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Subhepatic appendicitis in children is an unusual condition that can be challenging for the pediatric surgeons to treat. The aim of our study was to compare the outcomes of laparoscopic appendectomies based on the position of the appendix.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The data of 1736 patients who had undergone laparoscopic appendectomy in our tertiary center were retrospectively reviewed. We compared two groups: subhepatic location (<jats:italic>n<\/jats:italic>\u2009=\u200956) and non\u2010subhepatic location (<jats:italic>n<\/jats:italic>\u2009=\u20091680). A <jats:italic>P<\/jats:italic>\u2010value of less than 0.05 was considered statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was no statistically significant difference between the demographic variables of the groups. More than half of the subhepatic appendicitises were gangrenous (44.6%) or perforated (16.1%), whereas most of the non\u2010subhepatic appendicitises were phlegmonous (56.9%). Extracorporeal ligation of the appendix was the preferred technique in both the subhepatic and non\u2010subhepatic groups (69.6% and 89.8%, respectively). The subhepatic group had a statistically significant higher incidence of technical difficulties (1.6%) and abdominal drain (18.6%) than the non\u2010subhepatic group, as well as a longer operative time and hospital stay. However, intraoperative and postoperative complications were similar in both groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Laparoscopic subhepatic appendectomy is safe and does not lead to increased complications. However, the technique is made difficult by the fact that the appendix is an atypical location, and the rate of complicated appendicitis is higher.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12470","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T16:48:50Z","timestamp":1519231730000},"page":"362-365","source":"Crossref","is-referenced-by-count":8,"title":["Is the laparoscopic approach appropriate for pediatric subhepatic appendicitis?"],"prefix":"10.1111","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6130-8816","authenticated-orcid":false,"given":"Bel\u00e9n","family":"Aneiros Castro","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery 12 October Hospital, Madrid  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Indalecio","family":"Cano Novillo","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery 12 October Hospital, Madrid  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Araceli","family":"Garc\u00eda V\u00e1zquez","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery 12 October Hospital, Madrid  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Yuste Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of General Surgery 12 October Hospital  Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Ferrero Herrero","sequence":"additional","affiliation":[{"name":"Department of General Surgery 12 October Hospital  Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9s","family":"G\u00f3mez Fraile","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery 12 October Hospital, Madrid  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,2,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.rct.0000228151.73528.8f"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.265055167"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2011.0492"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(05)70407-2"},{"key":"e_1_2_6_6_1","first-page":"1992","article-title":"Sub\u2010hepatic caecum","volume":"7","author":"Gireesh MVN","year":"2013","journal-title":"Clin Diagn Res"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.894311"},{"key":"e_1_2_6_8_1","article-title":"Malrotated subhepatic caecum with subhepatic appendicitis: Diagnosis and management","volume":"2016","author":"Chong HC","year":"2016","journal-title":"Case Rep Surg"},{"key":"e_1_2_6_9_1","first-page":"737","article-title":"Laparoscopic appendectomy for appendicitis in uncommon situations: The advantages of a tailored approach","volume":"48","author":"Palanivelu C","year":"2007","journal-title":"Singapore Med J"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2012.07.066"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-007-2102-8"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2016.05.003"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fases.12470","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.12470","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T12:39:34Z","timestamp":1694867974000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.12470"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,19]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1111\/ases.12470"],"URL":"https:\/\/doi.org\/10.1111\/ases.12470","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,19]]}}}