Single-Port Laparoscopic Appendectomy in Children: Single Center Experience in 50 Patients

Abstract

Background : Recent years evolution of minimal invasive laparoscopic procedures led to new techniques, like single-port laparoscopy (SPL), resulting in nearly-scarless procedures. The purpose of this study is to evaluate that SPL appendectomy is a safe and feasible procedure using a commercially available trocar (LESS: Laparo Endoscopic Single Site trocar; Olympus TriPort+) in pediatric patients.

Methods : From July 2011 to March 2014 all patients undergoing SPL appendectomy under 18 years were included in this retrospective study. Per-en postoperative data were collected in a prospective database.

Results : A total of 50 children (mean age 12 years) diagnosed as acute appendicitis underwent SPL appendectomy. SPL appendectomy was feasible and safe in all cases, both in non-perforated and perforated appendicitis. In one procedure (2%) an extra trocar was placed. Seven patients (14%) were readmitted to the hospital after initial uncomplicated postoperative course. One patient (2%) needed reoperation due to a wound abscess. Three patients (6%) were readmitted due to intra-abdominal abscesses for which antibiotics were given.

Conclusion : SPL appendectomy is a safe and feasible procedure in children with acute appendicitis.

Additional information

Notes on contributors

Y. T. K. van der Linden

Y. T. K. van der Linden Jeroen Bosch Hospital Henri Dunantstraat 1 the Netherlands Tel.: [phone] Fax: [phone] E-mail: [email protected]