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Updated: Jun 21, 2026
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Single Port Donor Nephrectomy
Published on: March 12, 2011
Early experience with single-port laparoscopic surgery in children
Todd A Ponsky1, Jennifer Diluciano, Walter Chwals
1Department of Pediatric Surgery, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH 44106, USA. tponsky@yahoo.com
Summary
Single-incision laparoscopic surgery (SILS) in children shows promising safety and effectiveness. This approach may reduce pain and improve cosmetic outcomes compared to traditional multi-port surgery.
Area of Science:
- Pediatric surgery
- Minimally invasive surgery
Background:
- Traditional laparoscopy uses multiple incisions.
- Newer technology enables single-incision laparoscopic surgery (SILS).
- SILS may offer benefits like reduced pain and improved cosmesis.
Purpose of the Study:
- To report the preliminary experience of SILS in children.
- To evaluate the safety and efficacy of SILS in pediatric patients.
Main Methods:
- Retrospective review of operative database.
- Analysis of cases performed via a single laparoscopic incision.
- Study period: March 2008 to March 2009.
Main Results:
- 72 SILS cases performed, including various procedures like cholecystectomy and appendectomy.
- Five appendectomies required conversion to traditional laparoscopy.
- Two umbilical wound infections occurred; no other complications reported.
Conclusions:
- Preliminary data suggest SILS is safe and effective in children.
- Further studies with larger patient numbers and prospective trials are needed.
- The true benefits of SILS in pediatric surgery require additional investigation.
