Outcomes of laparoscopic appendectomy of a normally appearing appendix in children with suspected acute appendicitis: a tertiary care center experience

Our study supports appendectomy in pediatric patients undergoing laparoscopy for suspected acute appendicitis when no other pathology is identified, even if the appendix appears normal. This approach is justified with low morbidity, short hospital stays, symptom resolution without recurrence and only 16% of normal-looking appendices confirmed as histologically normal. However, larger multi-centre studies are needed to validate and standardize this practice.