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Single-port appendectomy in obese children: an optimal alternative?
Thomas Petnehazy1, A K Saxena, H Ainoedhofer
1Department of Pediatric and Adolescent Surgery, Medical University of Graz, Graz, Austria. Thomas.Petnehazy@klinikum-graz.at
Acta Paediatrica (Oslo, Norway : 1992)
|March 12, 2010
Summary
Single-port appendectomy (SPA) is a safe and effective minimal access approach for obese children with appendicitis. This technique offers cosmetic benefits and a low complication rate, making it a viable alternative for this patient group.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Single-port appendectomy (SPA) is an alternative surgical approach.
- Obesity in children presents unique surgical challenges.
- Evaluating SPA's efficacy in obese pediatric patients is crucial.
Purpose of the Study:
- To assess the outcomes of SPA in obese children.
- To compare SPA results in obese versus normal-weight pediatric patients.
- To identify potential benefits and complications of SPA in this cohort.
Main Methods:
- Retrospective review of 94 pediatric appendectomies (2003-2009).
- Categorization of patients into normal weight (65) and obese (29) groups.
- Analysis of operative time, complications, oral intake, and histopathology.
Main Results:
- No significant difference in operative time between obese and normal-weight groups.
- Obese group: one wound healing disturbance. Normal weight group: one bleeding, one infection.
- No difference in oral intake initiation; diverse histopathological findings noted.
Conclusions:
- SPA is a safe and effective alternative for appendectomy in obese children.
- SPA offers advantages in peritoneal cavity evaluation and cosmetic outcomes.
- Minimal intra-operative incidents support SPA as a valid minimal access approach.
