Transumbilical Laparoscopically Assisted Appendectomy: An Alternative Minimally Invasive Technique in Pediatric Patients

Abstract

Our study suggests that TULAA is a reasonable alternative to the standard minimally invasive technique for appendicitis in both acute and ruptured situations. All analyzed complications were similar between the groups, suggesting that TULAA is an acceptable surgical method in pediatric patients for all stages of appendicitis.

Transumbilical laparoscopically assisted appendectomy in children: the results of a single-port, single-channel procedure

“…The total complication rate of 11.3% after TULLA in our series was similar to the rates of 9 to 17% published in the existing literature about LA [1,28,32].…”

“…Recently, single-port appendectomy for children has gained popularity [25][26][27][28]. It is cost saving and produces surgical outcomes for selected appendicitis patients similar to those for conventional LA [28,29].…”

“…It is cost saving and produces surgical outcomes for selected appendicitis patients similar to those for conventional LA [28,29]. However, in terms of postoperative pain and analgesics requirements, Lee et al [29] reported that they could find no difference between TULAA transumbilical laparoscopically assisted single-port appendectomy, OA open appendectomy, ND not detected transumbilical appendectomy and conventional LA.…”

Laparoscopically Assisted Appendicectomy in Adults: A comparative analysis

“…This cost difference is due to expensive laparoscopic surgery consumables like endoloops and endoclips which are not required in LAA and OA and is in agreement with the findings of other researchers (13)(14).…”

Apendectomy; Comparison of Outcome in Open and Laparoscopic Apendectomy

“…Conversely intra-abdominal abscess was reported in 4.1% of patients in laparoscopic group and 0.32% patients of open appendectomy showing consistent results with other studies that show increase intra-abdominal abscess in laparoscopic group. 19,20 A few possible explanations to this may be an increased bacterial contamination, 21,22,23 punctilious irrigation further spreading pathogen in whole abdominal cavity without proper suction especially in case of peritonitis 24 , and inadequate leaning curve. 25 In our study this finding was not statistically significant (p=0.147).…”