Efficacy of transumbilical laparoscopic-assisted appendectomy for appendicitis: a four-year experience at a single center

Koizumi, Noriaki; Kobayashi, Hiroki; Nakase, Yuen; Takagi, Tsuyoshi; Fukumoto, Kohei

doi:10.1007/s00595-014-1034-x

Cited by 6 publications

(4 citation statements)

References 24 publications

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“…In our study, we had only one patient (3.7%) come back with an umbilical wound infection which was treated with a single course of oral antibiotics as an outpatient which is less than the infection rate reported by centers around the world (Koizumi, Kobayashi, Nakase, Takagi, & Fukumoto, 2015). No other complications were reported in our study.…”

Section: Resultsmentioning

confidence: 60%

Gasless Trans-Umbilical Laparoscopically-Assisted Appendectomy in the Pediatric Population: An Early Experience

Al-Taher¹,

Khrais²,

Al-Tawarah³

et al. 2020

RHS

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Background: The aim of this study is to determine the feasibility and safety of the single-port gasless trans-umbilical laparoscopically-assisted appendectomy in the pediatric age group at a single center in a tertiary university hospital in Jordan. Methods: Between April 2018 and July 2019, the surgical records of all patients aged between 0 and 13 years treated with trans-umbilical laparoscopic-assisted appendectomy TULAA for a suspected appendicitis following a clinical, laboratory and ultrasound findings were reviewed retrospectively. Baseline characteristics, white blood cell count, operative time, intraoperative findings, need for additional trocars or for conversion, length of hospital stay and surgical complications were reported.Results: 36 cases were included in the study, 23 (64%) were completed successfully using the gasless TULAA technique. Gas insufflation was needed in 10 (28%) cases and only 3 (8%) had to be converted to the three-port laparoscopic appendectomy technique. There was no significant difference between the gaseous and gasless groups in terms of baseline characteristics, BMI, surgery duration, postoperative recovery period or length of stay. However, the group of patients who needed gas insufflation to complete the procedure had a higher white blood cell count compared to the gasless group. The surgery was completed successfully by senior general surgery residents in 27 (75%) cases while the consultant’s intervention was needed in the remaining cases. The gasless TULAA group were less likely to require complex analgesia (i.e., IV analgesia) compared to the gasless group (OR=0.683).Conclusions: Gasless TULAA is a feasible procedure that can be performed safely by surgical residents as an initial approach for all grades of acute appendicitis in the pediatric age group.

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Section: Resultsmentioning

confidence: 60%

Gasless Trans-Umbilical Laparoscopically-Assisted Appendectomy in the Pediatric Population: An Early Experience

Al-Taher¹,

Khrais²,

Al-Tawarah³

et al. 2020

RHS

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“…Pappalepore and colleagues in 2002 [8] retrospectively analysed the records of 65 children undergoing a standard extracorporeal appendectomy and 58 patients undergoing a two-port Transumbilical Laparoscopic Assisted Extracorporeal Appendicectomy: 1 surgical wound infection was recorded in the first group, and no complications were recorded in the second group. Koizumi and colleagues in 2015 [22] retrospectively compared 64 patients undergoing open appendicectomy with 62 patients undergoing a single port Transumbilical Laparoscopic Assisted Extracorporeal Appendicectomy. 8/64 patients developed a complication in the first group (5 surgical wound infections, 1 intra-abdominal abscess, and 2 cases of ileus); 12/62 patients developed a complication in the second group (9 surgical wound infections, 1 abscess, and 2 cases of ileus).…”

Section: Resultsmentioning

confidence: 99%

“…Codrich and colleagues [21] used ultrasound to assess the presence of an appendiceal mass and schedule patients for an immediate appendicectomy or an interval/delayed appendicectomy. Koizumi and colleagues [22] excluded patients with evidence of peritonitis. Noviello and colleagues [28], finally, excluded patients affected by complicated appendicitis based on clinical and ultrasound findings: patients affected by complicated appendicitis were treated with open appendicectomy.…”

Section: Discussionmentioning

confidence: 99%

TULAA: A Minimally Invasive Appendicectomy Technique for the Paediatric Patient

Perin

Scarpa

2016

Minimally Invasive Surgery

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TULAA or Transumbilical Laparoscopic Assisted Appendicectomy is a minimally invasive technique described by Pelosi in 1992 for the removal of the inflamed appendix. Its main advantage is the possibility of exploring the peritoneal cavity and performing a simple and safe extracorporeal appendicectomy. Since its first description, different authors reported their experience with such technique. The aim of this review is to summarise the surgical outcomes currently reported in the literature for this minimally invasive surgical approach and compare it with standard open and laparoscopic appendicectomy.

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“…TULAA has become a widely accepted approach for appendicitis since improvements in its technique and the development of a specific laparoscopic device [30][31][32][33]. The potential advantages of this approach include better cosmetic outcome and less postoperative pain because of nonpenetration of the muscle.…”

Section: Discussionmentioning

confidence: 98%

Gasless transumbilical laparoscopic-assisted appendectomy as a safe and cost-effective alternative surgical procedure for mild acute appendicitis

et al. 2015

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Efficacy of transumbilical laparoscopic-assisted appendectomy for appendicitis: a four-year experience at a single center

Cited by 6 publications

References 24 publications

Gasless Trans-Umbilical Laparoscopically-Assisted Appendectomy in the Pediatric Population: An Early Experience

Gasless Trans-Umbilical Laparoscopically-Assisted Appendectomy in the Pediatric Population: An Early Experience

TULAA: A Minimally Invasive Appendicectomy Technique for the Paediatric Patient

Gasless transumbilical laparoscopic-assisted appendectomy as a safe and cost-effective alternative surgical procedure for mild acute appendicitis

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