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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