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

Abstract

The TULAA procedure is a preferable operation for acute appendicitis in children because it is simple and provides good cosmetic results.

Apendectomy; Comparison of Outcome in Open and Laparoscopic Apendectomy

“…Length of Hospital stay, which is important for developing countries as it increases overall cost of treatment, was significantly shorter in laparoscopic group (p=0.015) with earlier bowel movements , start and tolerance to oral diet and early discharge from hospital. Thus my study is in alignment with several other researches 11,12 claiming shorter hospital stay with laparoscopic appendectomy than in open appendectomy. overcome psychological factors which may affect result of perception of pain by patients, only number of analgesic doses required were compared in both groups.…”

A new paradigm of scarless abdominal surgery in children: Transumbilical minimal incision surgery

“…For example, a previous study reported the rate of conversion of LESS to conventional multiport appendectomy or the need for an additional transverse incision to range between 5 and 16.8% in pediatric cases. [13][14][15]. The transumbilical minimal incision approach does not require special equipment, or training such as that which is needed for laparoscopic surgery.…”

Port Exteriorization Appendectomy in children: An Alternative to Conventional Laparoscopic Technique?

“…Although criticized for technical difficulty and cost , the 3 ports "in" technique has been widely practiced and remains the gold standard, among techniques of laparoscopic appendectomy, due to its significant advantages [3]. However, it needs a complete surgical laparoscopy set in addition to a trained surgeon.…”

“…First reported by Valla [2]. Then by others like Ohno [3]. This technique concerned at the beginning only cases of uncomplicated appendicitis.…”