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01-12-2024 | Appendicitis | Original Article

Is transumbilical laparoscopic-assisted appendectomy feasible for complicated appendicitis? A single-center experience

Authors: Chiara Costantini, Elisa Pani, Elisa Negri, Fabio Beretta, Silvia Bisoffi, Federica Fati, Giosuè Mazzero, Clara Revetria, Hamid R. Sadri, Enrico Ciardini

Published in: Pediatric Surgery International | Issue 1/2024

Abstract

Purpose

Transumbilical laparoscopic‐assisted surgery (TULS) mixed benefits of laparoscopic and open surgeries. Transumbilical laparoscopic-assisted appendectomy (TULAA) is a well-known procedure, accepted and currently used by pediatric surgeons for treatment of uncomplicated appendicitis (UA). There is no current agreement in its use for the complicated appendiceal infections (CA). We reported our results using TULAA for both UA and CA.

Methods

We retrospectively collected TULAA performed between April 2017 and April 2022. Appendicitis were classified in UA and CA. We analyzed conversion rate, operative time, length of stay, surgical site infections (SSIs) rate, postoperative intra-abdominal abscess and costs.

Results

Over 5 years, 316 children underwent TULAA. Conversion rate was 3%. Mean age at surgery was 9.36 years (IQR 2–16). Forty-nine appendicitis were CA. Operative time and hospital stay was higher in CA than in UA group (38.33 vs. 60.73 min, p < 0.00001; 4 vs. 7 days, p < 0.00001). SSIs rate showed no statistically significant difference between two groups. Incidence of postoperative intra-abdominal collections was 11% in CA and 1% in UA. TULAA’s cost was 192.07 €.

Conclusion

In our series, TULAA seems to be safe, feasible and cost-effective for both uncomplicated and complicated appendicitis, with no disadvantage in terms of outcomes compared to what is reported in literature for CLS.

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Title: Is transumbilical laparoscopic-assisted appendectomy feasible for complicated appendicitis? A single-center experience
Authors: Chiara Costantini
Elisa Pani
Elisa Negri
Fabio Beretta
Silvia Bisoffi
Federica Fati
Giosuè Mazzero
Clara Revetria
Hamid R. Sadri
Enrico Ciardini
Publication date: 01-12-2024
Publisher: Springer Berlin Heidelberg
Keywords: Appendicitis
Appendicitis
Appendectomy
Published in: Pediatric Surgery International / Issue 1/2024
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-023-05624-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Is transumbilical laparoscopic-assisted appendectomy feasible for complicated appendicitis? A single-center experience

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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