Abstract
The paper reports the results of a retrospective review of the medical charts of 203 patients admitted to a pediatric surgical unit with a diagnosis of acute appendicitis between January 2006 and December 2010 when a transumbilical laparoscopic-assisted appendectomy (TULAA) was introduced as a new surgical technique. Among 203 admitted patients, 7 (3.5%) had a localized appendiceal abscess and were treated with antibiotics. All of them responded to antibiotics and underwent TULAA interval appendectomy 8 weeks later. 196 patients (96.5%) underwent immediate surgery. In 12/181 (6.6%) urgent cases, conversion to laparotomy was necessary, in 3 patients because of bowel distension and in 9 for retrocecal position of appendix. In all 181 TULAA completed procedures, one trocar was used in 151 cases (89.4%), two trocars in 16 (9.4%), and three trocars in 2 (1.2%). The mean operative time for single port TULAA was 52′ Complications included 5 wound infections and 5 intra-abdominal abscesses, all managed conservatively. In conclusion, TULAA is a safe, minimally invasive approach with acute appendicitis, regardless of the perforation status, and can be recommended in the pediatric urgical settings.
| Original language | English |
|---|---|
| Article number | 216416 |
| Journal | Minimally Invasive Surgery |
| Volume | 2013 |
| DOIs | |
| Publication status | Published - 2013 |
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ASJC Scopus subject areas
- Surgery
Cite this
Transumbilical laparo-assisted appendectomy : A safe operation for the whole spectrum of appendicitis in children - A single-centre experience. / Codrich, D.; Scarpa, M. G.; Lembo, M. A.; Pederiva, F.; Olenik, D.; Gobbo, F.; Giannotta, A.; Cherti, S.; Schleef, J.
In: Minimally Invasive Surgery, Vol. 2013, 216416, 2013.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Transumbilical laparo-assisted appendectomy
T2 - A safe operation for the whole spectrum of appendicitis in children - A single-centre experience
AU - Codrich, D.
AU - Scarpa, M. G.
AU - Lembo, M. A.
AU - Pederiva, F.
AU - Olenik, D.
AU - Gobbo, F.
AU - Giannotta, A.
AU - Cherti, S.
AU - Schleef, J.
PY - 2013
Y1 - 2013
N2 - The paper reports the results of a retrospective review of the medical charts of 203 patients admitted to a pediatric surgical unit with a diagnosis of acute appendicitis between January 2006 and December 2010 when a transumbilical laparoscopic-assisted appendectomy (TULAA) was introduced as a new surgical technique. Among 203 admitted patients, 7 (3.5%) had a localized appendiceal abscess and were treated with antibiotics. All of them responded to antibiotics and underwent TULAA interval appendectomy 8 weeks later. 196 patients (96.5%) underwent immediate surgery. In 12/181 (6.6%) urgent cases, conversion to laparotomy was necessary, in 3 patients because of bowel distension and in 9 for retrocecal position of appendix. In all 181 TULAA completed procedures, one trocar was used in 151 cases (89.4%), two trocars in 16 (9.4%), and three trocars in 2 (1.2%). The mean operative time for single port TULAA was 52′ Complications included 5 wound infections and 5 intra-abdominal abscesses, all managed conservatively. In conclusion, TULAA is a safe, minimally invasive approach with acute appendicitis, regardless of the perforation status, and can be recommended in the pediatric urgical settings.
AB - The paper reports the results of a retrospective review of the medical charts of 203 patients admitted to a pediatric surgical unit with a diagnosis of acute appendicitis between January 2006 and December 2010 when a transumbilical laparoscopic-assisted appendectomy (TULAA) was introduced as a new surgical technique. Among 203 admitted patients, 7 (3.5%) had a localized appendiceal abscess and were treated with antibiotics. All of them responded to antibiotics and underwent TULAA interval appendectomy 8 weeks later. 196 patients (96.5%) underwent immediate surgery. In 12/181 (6.6%) urgent cases, conversion to laparotomy was necessary, in 3 patients because of bowel distension and in 9 for retrocecal position of appendix. In all 181 TULAA completed procedures, one trocar was used in 151 cases (89.4%), two trocars in 16 (9.4%), and three trocars in 2 (1.2%). The mean operative time for single port TULAA was 52′ Complications included 5 wound infections and 5 intra-abdominal abscesses, all managed conservatively. In conclusion, TULAA is a safe, minimally invasive approach with acute appendicitis, regardless of the perforation status, and can be recommended in the pediatric urgical settings.
UR - http://www.scopus.com/inward/record.url?scp=84876568125&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84876568125&partnerID=8YFLogxK
U2 - 10.1155/2013/216416
DO - 10.1155/2013/216416
M3 - Article
C2 - 23606960
AN - SCOPUS:84876568125
VL - 2013
JO - Minimally Invasive Surgery
JF - Minimally Invasive Surgery
SN - 2090-1445
M1 - 216416
ER -