Transumbilical laparo-assisted appendectomy: A safe operation for the whole spectrum of appendicitis in children - A single-centre experience

D. Codrich, M. G. Scarpa, M. A. Lembo, F. Pederiva, D. Olenik, F. Gobbo, A. Giannotta, S. Cherti, J. Schleef

Research output: Contribution to journalArticlepeer-review

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 languageEnglish
Article number216416
JournalMinimally Invasive Surgery
Volume2013
DOIs
Publication statusPublished - 2013

ASJC Scopus subject areas

  • Surgery

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