ArticleJournal of minimal access surgery
Conventional single-port laparoscopic appendectomy for complicated appendicitis in children: Efficient and cost-effective.
Article in Journal of minimal access surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Laparoscopic versus open appendectomy in pediatric patients with complicated appendicitis: a meta-analysis.Surgical endoscopy · 2019Pooled it
- Learning curve of single-port laparoscopic appendectomy in a low-volume hospital.Frontiers in surgery · 2025Article
- Is transumbilical laparoscopic-assisted appendectomy feasible for complicated appendicitis? A single-center experience.Pediatric surgery international · 2024Article
- Laparoscopic appendectomy: Effectiveness in children with generalized and advanced generalized peritonitis cases.Turkish journal of surgery · 2023Article
- Feasibility of single-port retroperitoneoscopic adrenalectomy in dogs.Veterinary surgery : VS · 2018Article
- Transumbilical laparoscopic-assisted appendectomy in children: is it worth it?Surgical endoscopy · 2017Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic appendectomy (LA) is gradually gaining popularity among paediatric surgeons for complicated appendicitis. A retrospective study was conducted to compare conventional single port LA, multiport LA and open appendectomy (OA) for complicated appendicitis in children. PATIENTS AND
methodsFrom January 1995 from December 2014, 1,408 patients (604 girls, 804 boys) underwent surgery for uncomplicated and complicated appendicitis. The patient characteristics, operation times, duration of hospitalization, operative costs, and postoperative complications were recorded. A 10-mm 0(°) scope with a parallel eye piece and an integrated 6 mm working channel were inserted through an 11-mm "conventional umbilical port" for single port LA.
resultsA total of 314 patients with complicated appendicitis (128 girls, 186 boys) underwent appendectomy. Among these, 102 patients (32.4%) underwent single port LA, 17 patients (5.4%) underwent multiport LA and 195 patients (62.1%) underwent OA. The hospital stay of the single port LA group was significantly less (3.88 ± 1.1) compared with multiport LA (5.41 ± 1.2) and OA groups (6.14 ± 1.1) (P < 0.001). Drain usage, wound infection and adhesive intestinal obstruction rates were significantly high in the OA group. There was no significant difference between the groups in postoperative intraabdominal abscess formation. Single-port LA performed for complicated appendicitis was cheaper compared with the other groups.
conclusionsThe present study has shown that single-port LA for complicated appendicitis can be conducted in a reasonable operative time; it shortens the hospitalization period, markedly reduces postoperative wound infection and adhesive intestinal obstruction rates and does not increase the operative cost.
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