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Qurbonov D.D.

Regional Children’s Multidisciplinary Medical Center;
National Children’s Medical Center

Azizov M.K.

National Children’s Medical Center

Khurramov F.M.

Tashkent State Medical University

Comparative efficacy of laparoscopic and open interventions in the treatment of purulent-inflammatory diseases of abdominal organs in children

Authors:

Qurbonov D.D., Azizov M.K., Khurramov F.M.

More about the authors

Journal: Endoscopic Surgery. 2026;32(1): 18‑24

DOI: 10.17116/endoskop20263201118

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Table of contents

COMPARATIVE EFFICACY OF LAPAROSCOPIC AND OPEN INTERVENTIONS IN THE TREATMENT OF PURULENT-INFLAMMATORY DISEASES OF ABDOMINAL ORGANS IN CHILDREN
COMPARATIVE EFFICACY OF LAPAROSCOPIC AND OPEN INTERVENTIONS IN THE TREATMENT OF PURULENT-INFLAMMATORY DISEASES OF ABDOMINAL ORGANS IN CHILDREN

To cite this article:

Qurbonov DD, Azizov MK, Khurramov FM. Comparative efficacy of laparoscopic and open interventions in the treatment of purulent-inflammatory diseases of abdominal organs in children. Endoscopic Surgery. 2026;32(1):18‑24. (In Russ.)
https://doi.org/10.17116/endoskop20263201118

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

Comparative effectiveness assessment of laparoscopic and open interventions for purulent-inflammatory diseases of abdominal organs in children.

MATERIAL AND METHODS

Treatment results of 838 patients (2017—2024) were analyzed: 706 (84.3%) underwent laparoscopic surgery, 132 (15.7%) — open surgery. Immediate results, complications according to Clavien—Dindo classification, quality of life (PedsQL 4.0), and long-term outcomes were evaluated. Stratified analysis by disease stage was performed to correct for intergroup differences.

RESULTS

Complication rate for laparoscopy was 4.2% versus 13.6% for open operations (p<0.001). Severe complications (≥IIIb) — 0.1% versus 2.3% (p=0.003). Hospital stay decreased from 6.7±2.8 to 3.2±1.4 days. In the long-term period, postoperative hernias were absent in the laparoscopy group versus 7.1% after open interventions. Quality of life was significantly higher after minimally invasive operations (94.2±5.1 versus 87.5±8.3 points).

CONCLUSION

Laparoscopic interventions provide reduced complications, accelerated rehabilitation, and better long-term results for most forms of purulent-inflammatory diseases in children.

Keywords:

laparoscopy
children
appendicitis
peritonitis
complications
quality of life

Authors:

Qurbonov D.D.

Regional Children’s Multidisciplinary Medical Center;
National Children’s Medical Center

Azizov M.K.

National Children’s Medical Center

Khurramov F.M.

Tashkent State Medical University

Received:

11.07.2025

Accepted:

01.09.2025

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References:

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  2. Korovina SA, Dzyadchik AV, Dvorovenko EV, Sokolov YuYu. Laparoscopic interventions in children with complicated appendicitis. Medical Council. 2018;17:232-236. (In Russ.). https://doi.org/10.21518/2079-701X-2018-17-232-236
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  6. Xiao Z, Wu L, Li J, et al. Application of transumbilical single-incision laparoscopy in the treatment of complicated appendicitis in overweight/obese adolescents. BMC Pediatr. 2024;24(1):593.  https://doi.org/10.1186/s12887-024-05076-4
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  11. Masoomi H, Mills S, Dolich MO, et al. Comparison of outcomes of laparoscopic versus open appendectomy in adults: data from the Nationwide Inpatient Sample (NIS), 2006—2008. J Gastrointest Surg. 2011;15(12):2226-2231. https://doi.org/10.1007/s11605-011-1613-8
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