ArticleFrontiers in pediatrics2026
Modified single-site two-port laparoscopic appendectomy with single-instrument knotting and absorbable clips in children: a retrospective study.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
Objective: To evaluate the clinical efficacy of a modified single-site two-port laparoscopic suspension technique combined with single-instrument knotting and absorbable clips in pediatric appendectomy, and to compare it with the single-site Hem-o-lok clip technique. Methods: This retrospective study reviewed pediatric patients with acute appendicitis treated at our institution between January 2024 and March 2025. Patients who underwent one of the two single-site two-port laparoscopic techniques were included and classified according to the closure method used for the appendiceal stump and mesoappendix: absorbable clips combined with single-instrument knotting or Hem-o-lok clips. Perioperative outcomes, postoperative complications, ultrasonographic findings, and postoperative inflammatory markers were evaluated. Results: A total of 133 pediatric patients were included, with 70 in the absorbable-clip group and 63 in the Hem-o-lok group. No significant differences were found between the two groups in abdominal drain placement, time to drain removal, intraoperative blood loss, time to first postoperative flatus, or postoperative hospital stay ( Conclusion: Although the modified single-site two-port laparoscopic suspension appendectomy combined with single-instrument knotting and absorbable clips required a slightly longer operative time than the Hem-o-lok clip technique, it was associated with fewer postoperative complications and a milder postoperative inflammatory response. These findings should be interpreted cautiously and confirmed in larger prospective studies with longer follow-up.
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