World Journal of Laparoscopic Surgery

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VOLUME 15 , ISSUE 3 ( September-December, 2022 ) > List of Articles

CLINICAL TECHNIQUE

Scarless Appendectomy in Children. Is it Safe? Our Initial Single-center Experience

Rezkalla Akkary, Jinane G Doumat, Loic H Jochault, Sandy F Jochault-Ritz

Keywords : Appendectomy, Laparoscopy, Single trocar surgery

Citation Information : Akkary R, Doumat JG, Jochault LH, Jochault-Ritz SF. Scarless Appendectomy in Children. Is it Safe? Our Initial Single-center Experience. World J Lap Surg 2022; 15 (3):272-275.

DOI: 10.5005/jp-journals-10033-1518

License: CC BY-NC 4.0

Published Online: 08-12-2022

Copyright Statement:  Copyright © 2022; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Purpose: Since the description of laparoscopic appendectomy, the surgeons are trying to develop techniques using less incisions. We describe our initial experience with the transumbilical laparoscopic-assisted appendectomy (TULAA) in children. Materials and methods: A prospective, single surgeon, single-center study was conducted. The technique was described (Video). The rates of conversion of intraoperative complications and of postoperative complications were noted. Risk factors for conversion were analyzed. Results: Forty patients were included. Conversion to a classical 3-port technique was done in 13 cases. The only intraoperative complication was an epiploic bleeding encountered in 1 patient. The only postoperative complication was an umbilical abscess in 2 patients. A scarless abdomen was noted 1 month postoperatively. Conclusion: Transumbilical laparoscopic-assisted appendectomy had combined the exposure advantages of laparoscopy and the low cost of open surgery. Despite the small population number, it seems to be safe, reproducible, and effective, and it had superior esthetic advantages. Clinical significance: Trans-umbilical laparoscopic-assisted appendectomy reduces the incisions needed to do an appendectomy with no increased risk in complications when compared to the traditional techniques.


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