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Experiences with LESS-appendectomy in Children.

Mohammad Reza Vahdad1, Matthias Nissen2, Alexander Semaan3

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Archives of Iranian Medicine
|December 26, 2015
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Summary
This summary is machine-generated.

Laparoendoscopic single-site (LESS-A) appendectomy in children offers a shorter operation duration compared to traditional 3-port laparoscopic (3TA) appendectomy. Both techniques demonstrate similar complication rates, making LESS-A a viable option for pediatric appendicitis treatment.

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Area of Science:

  • Pediatric surgery
  • Minimally invasive surgical techniques
  • Gastrointestinal surgery

Background:

  • Appendectomy is a common pediatric surgical procedure.
  • Laparoscopic appendectomy has become the standard of care.
  • Single-site minimally invasive surgery is evolving.

Purpose of the Study:

  • To compare the outcomes of laparoendoscopic single-site (LESS-A) appendectomy versus 3-port laparoscopic (3TA) appendectomy in children.
  • To evaluate operative time, complication rates, and surgeon experience for both techniques.

Main Methods:

  • Retrospective review of 309 pediatric patients (2008-2012).
  • Comparison of LESS-A (65 patients) and 3TA (244 patients) groups.
  • Analysis of operative duration, abdominal abscesses, and wound infections across different appendicitis severities.

Main Results:

  • LESS-A demonstrated a significantly shorter operative duration across all degrees of appendiceal inflammation (catarrhalis, phlegmonous, perforated).
  • No significant differences were observed in the incidence of abdominal abscesses or wound infections between LESS-A and 3TA.
  • Laparoendoscopic single-site appendectomy was utilized by surgeons with and without board certification for all appendicitis severities.

Conclusions:

  • Laparoendoscopic single-site appendectomy is a safe and effective alternative to 3-port laparoscopic appendectomy in children.
  • LESS-A offers the advantage of reduced operative time with comparable complication rates.
  • The technique is feasible for surgeons at various experience levels.