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Single-site laparoscopic appendectomy in children using conventional instruments: a prospective, randomized, control
Kai Wu1, Liucheng Yang, Aiguo Wu
1Department of Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, Guangdong Province, China.
Pediatric Surgery International
|November 10, 2014
Summary
Single-site laparoscopic surgery (SSLS) using conventional laparoscopic (CL) equipment is safe and feasible for pediatric appendectomy. While operative time increases, SSLS does not raise complication rates or costs.
Area of Science:
- Pediatric surgery
- Minimally invasive surgery
- Surgical outcomes
Background:
- Single-site laparoscopic surgery (SSLS) for pediatric appendicitis is limited.
- Conventional laparoscopic (CL) equipment for SSLS appendectomy is a valuable application in China.
Purpose of the Study:
- To evaluate the surgical outcomes of SSLS versus 3-port CL appendectomy using CL equipment in children.
- To compare operative time, conversion rates, complications, hospital stay, and costs.
Main Methods:
- Prospective randomized trial involving 60 pediatric patients.
- Random assignment to SSLS or 3-port CL appendectomy using CL instruments.
- Evaluation of key surgical outcome metrics.
Main Results:
- SSLS was successful in all 30 patients with no conversions.
- Mean operative time was longer for SSLS (64.3 min) compared to CL (53.0 min).
- Complication rates, hospital stay, and costs were similar between SSLS and CL groups.
Conclusions:
- SSLS appendectomy using conventional instruments is technically feasible and safe in children.
- SSLS increases operative time but not complication rates or hospital costs.

