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. 2012 Feb;82(2):110-5.
doi: 10.4174/jkss.2012.82.2.110. Epub 2012 Jan 27.

Application of single incision laparoscopic surgery for appendectomy in children

Dong Baek Kang  1 , Seung Hyun Lee, Seok Youn Lee, Jung Taek Oh, Dong Eun Park, Cheol Lee, Duk Hwa Choi, Won Cheol Park, Jeong Kyun Lee
Affiliations

Application of single incision laparoscopic surgery for appendectomy in children

Dong Baek Kang et al. J Korean Surg Soc. 2012 Feb.

Abstract

Purpose: Recently, single incision laparoscopic surgery (SILS) has been popular in use with its progress studied for more minimally invasive surgery and cosmetic improvement. We investigated the feasibility and efficacy of SILS for appendectomy (SILS-A) in children and compare it with conventional laparoscopic appendectomy (C-LA).

Methods: We studied, retrospectively, adolescent patients who underwent C-LA or SILS-A. There were 25 patients in the C-LA group and 30 patients in the SILS-A group. The clinical outcomes were compared between the groups.

Results: The SILS-A procedures were performed successfully in adolescent patients . There were no significant difference between the C-LA and SILS-A group with respect to demographic data and post-operative outcomes. There was one complication (4%) in the C-LA group and two complications (6.6%) in the SILS-A group, but there was no significant difference.

Conclusion: SILS-A was technically feasible and safe in children. Considering little postoperative scar and no difference in post-operative outcomes compared to C-LA, SILA could be applicable in adolescent patients. Larger studies and further technical implements will be necessary to assess the true benefit of this approach.

Keywords: Child; Laparoscopy; Single incision.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Extra-corporeal appendectomy in single incision laparoscopic surgery for appendectomy.
Fig. 2
Fig. 2
Immediate post-operative scar after single incision laparoscopic surgery for appendectomy in 9-year-old female patient with gangrenous type appendicitis.
See this image and copyright information in PMC

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