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Pediatric Surgery International

Published in:

01-02-2015 | Original Article

Single-site laparoscopic appendectomy in children using conventional instruments: a prospective, randomized, control trial

Authors: Kai Wu, Liucheng Yang, Aiguo Wu, Jianjun Wang, Shuai Xu, Haijun Zhao, Zonghai Huang

Published in: Pediatric Surgery International | Issue 2/2015

Abstract

Purpose

Single-site laparoscopic surgery (SSLS) is still only used in limited situations to treat children with appendicitis. Using conventional laparoscopic (CL) equipment to perform SSLS appendectomy is considered a valuable application in China. This prospective randomized trial aims to evaluate the surgical outcome of SSLS and CL appendectomy using CL equipment.

Methods

Sixty patients were recruited and randomly assigned to receive SSLS or 3-port CL appendectomy between February 2011 and June 2013. Each case of SSLS appendectomy was performed using CL instruments. Surgery outcomes, including operative time, conversion rates, postoperative complications, hospital stays, and hospital costs were evaluated.

Results

Patient characteristics were similar between groups. The SSLS using CL instruments was successful in all the 30 patients and no conversions occurred. Mean operative time was longer in the SSLS group than the CL group (64.3 ± 3.1 vs 53.0 ± 2.9 min, respectively; p = 0.000). Complication rates, lengths of hospital stay, and hospital costs were similar between the two groups.

Conclusions

The findings of this study demonstrate that using conventional instruments to perform SSLS is technically feasible and safe in children. Although SSLS appendectomy does increase the operative time, it does not increase the complication rate and hospital cost.

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Title: Single-site laparoscopic appendectomy in children using conventional instruments: a prospective, randomized, control trial
Authors: Kai Wu
Liucheng Yang
Aiguo Wu
Jianjun Wang
Shuai Xu
Haijun Zhao
Zonghai Huang
Publication date: 01-02-2015
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 2/2015
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-014-3636-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Single-site laparoscopic appendectomy in children using conventional instruments: a prospective, randomized, control trial

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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