A comparativestudy of single-incision laparoscopy and conventional laparoscopy for acutechildren appendicitis
LIU Kunqiang1, ZHANG Zhen2,WANG Chen2, CHEN Zhen2,and ZHANG Jun2
1.Department of Pediatric Surgery,Tongzhou District Beijing Maternal and Child Health Hospita, Beijing, 101101,China; 2.Departmentof General Surgery,the Affiliated Children’s Hospital, Capital pediatricInstitute, Beijing 100220,China
Abstract:Objective To describe the technique and evaluate the outcome of singleincision laparoscopic approach for acute appendicitis in children. Methods 112 Children with acute appendicitis who underwent single-incisionlaparoscopic surgery or conventional laparoscopic surgery between March 2013 and March 2015 were reviewed. Mean age at operation were 2 h~16 years. The mean follow-up period was 13.7 months (range, 3 to 24months). 28 acute simple appendicitis, 58 suppurativeappendicitis and 26 gangrenous appendicitis were included. Results All cases underwentsingle-incision laparoscopic surgery or conventional laparoscopic surgerysuccessfully. Mean operation time was decreased in single-incision laparoscopicsurgery group (P<0.05). There was no significant difference between the 2groups in intraoperative blood loss, postoperative complication andpostoperative stay.Conclusions Singleincision laparoscopic approach for hernia of acute appendicitis is a safe andeffective, minimally invasive new technology.
Rothenberg S S, Shipman K, Yoder S. Experience with modified single-port laparoscopic procedures in children[J]. J Laparoendosc Adv Surg Tech A,2009,19(5):695-698.
[2]
Hansen E N, Muensterer O J, Georgeson K E, et al. Single-incision pediatric endosurgery: lessons learned from our first 224 laparoendoscopic single-site procedures in children[J]. Pediatr Surg Int,2011,27(6):643-648.
[3]
Chow A, Purkayastha S, Paraskeva P. Appendicectomy and cholecystectomy using single-incision laparoscopic surgery (SILS): the first UK experience[J]. Surg Innov,2009,16(3):211-217.
[4]
Tam Y H, Lee K H, Sihoe J D, et al. Initial experience in children using conventional laparoscopic instruments in single-incision laparoscopic surgery[J]. J Pediatr Surg,2010,45(12):2381-2385.
[5]
Diao M, Li L, Dong N, et al. Single-incision laparoscopic Roux-en-Y hepaticojejunostomy using conventional instruments for children with choledochal cysts[J]. Surg Endosc, 2012,26(6):1784-1790.
[6]
Zhang J S, Li L, Diao M, et al. Single-incision laparoscopic excision of pancreatic tumor in children[J]. J Pediatr Surg, 2015,50(5):882-885.