**4.6 Pediatric patients**

Pediatric patients seem to benefit from the laparoscopic approach for suspected appendicitis in the same ways adults do, and intraabdominal abscesses are not more frequent than with the open approach. However, more RCTs are needed in order to come to final conclusions. Especially in extremely obese children laparoscopy is considered to be the procedure of choice both in complicated, and not complicated cases. The operative time is reported to be shorter, there are less overall complications, and reduced analgesia requirements (Kutasy et al., 2011).
