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Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

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Single-incision laparoscopic surgery: feasibility for pediatric appendectomies.

Sarah C Oltmann¹, Nilda M Garcia, Brenda Ventura

¹Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Journal of Pediatric Surgery

|July 13, 2010

Summary

Single-incision laparoscopic surgery (SILS) appendectomy is feasible in children, even those as young as 19 months. While operating times are longer, SILS offers a scarless outcome with comparable safety to standard laparoscopic appendectomy.

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Area of Science:

Pediatric Surgery
Minimally Invasive Surgery
Surgical Innovation

Background:

Single-incision laparoscopic surgery (SILS) offers a scarless abdominal approach.
SILS is a novel technique in minimally invasive surgery.
Early experience with SILS for appendectomies in pediatric patients is reported.

Purpose of the Study:

To evaluate the feasibility and outcomes of SILS appendectomy in a pediatric population.
To compare SILS appendectomy with standard laparoscopic appendectomy (LAP-A) in children.

Main Methods:

Retrospective chart review of pediatric patients undergoing SILS appendectomy (SILS-A) or laparoscopic appendectomy (LAP-A).
Analysis of patient demographics, operative times, and postoperative complications.

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Comparison of SILS-A outcomes with a historical control group of LAP-A.

Main Results:

Thirty-nine pediatric patients were reviewed (19 SILS-A, 20 LAP-A).
SILS-A operative time was longer (58 min) compared to LAP-A (43 min).
No significant difference in postoperative complications, wound infections, hernias, or length of stay was observed.

Conclusions:

SILS appendectomy is a feasible surgical option for pediatric patients, including those as young as 19 months.
Increased operative times with SILS-A are expected to decrease with experience and improved instrumentation.
Further research and technical refinement are necessary for widespread adoption of SILS appendectomy.