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Experience of single-incision laparoscopy in children
Yung Ching Ming1, Wendy Yang1, Jeng Chang Chen1
1Department of Pediatric Surgery, Chang Gung Children's Hospital, Taoyuan City, Taiwan.
Insights
Single-incision laparoscopic surgery (SILS) offers cosmetic benefits and is comparable to conventional laparoscopic surgery (CLS) in pediatric patients for appendectomy and intussusception reduction. SILS is a safe and feasible option for various pediatric surgical conditions.
Area of Science:
- Pediatric surgery
- Minimally invasive surgery
Background:
- Laparoscopic surgery is a common treatment for pediatric surgical conditions.
- Single-incision laparoscopic surgery (SILS) is recognized for its cosmetic advantages.
Purpose of the Study:
- To evaluate the efficacy and safety of SILS in pediatric patients.
- To compare SILS with conventional laparoscopic surgery (CLS) for specific pediatric procedures.
Main Methods:
- Retrospective evaluation of 78 pediatric patients (<18 years) who underwent SILS between July 2012 and June 2014.
- Procedures included appendectomy (n=64), intussusception reduction (n=8), intestinal foreign body removal (n=3), and Meckel's diverticulectomy (n=3).
- Comparison with CLS based on demographic data, indications, complications, operative time, and hospital stay.
Main Results:
- SILS demonstrated comparability to CLS for appendectomy and intussusception reduction.
- No significant differences were observed between SILS and CLS regarding demographics, complications, or length of hospital stay.
- Appendectomy was the most frequent procedure (n=64) performed via SILS.
Conclusions:
- SILS is a feasible and safe procedure for various pediatric surgical diseases.
- SILS is comparable to CLS for appendectomy and intussusception reduction in pediatric patients.
- Further large prospective randomized studies are recommended to delineate differences between SILS and CLS.
Context:
Laparoscopic surgery is commonly used for the treatment of many pediatric surgical diseases at our department. Single-incision laparoscopic surgery (SILS) is well-known for its cosmetic benefit. We, hereby, present our experience of SILS and evaluate its efficacy.
Materials And Methods:
From July 2012 to June 2014, 78 patients aged less than 18 years who underwent SILS were retrospectively evaluated. There were 44 males and 34 females, with a mean age of 10.3 years. The procedures included appendectomy (n = 64), reduction of intussusception (n = 8), removal of an intestinal foreign body (n = 3), and Meckel's diverticulectomy (n = 3). We compared the patients who underwent SILS with those who underwent conventional laparoscopic surgery (CLS), regarding these procedures. The parameters for analysis included the patient's demographic data, surgical indication, complications, operative time, and length of hospital stay.
Conclusion:
SILS is comparable to CLS regarding two major procedures, namely, appendectomy and reduction of intussusception. There were no significant differences between the two groups regarding the patients' demographic data, complications, and length of hospital stay. According to our experience of SILS, it could be a feasible and safe procedure for the treatment of various pediatric surgical diseases. However, large prospective randomized studies are needed to identify the differences between SIL and CLS.
