Transumbilical Two-Port Laparoscopy With Percutaneous Needle Instrument: A Modified Technique for Pediatric...

Area of Science:

• Pediatric Surgery
• Minimally Invasive Surgery

Background:

• Acute appendicitis is a common pediatric surgical emergency.
• Conventional three-port laparoscopy is the standard surgical approach.
• A modified transumbilical two-port laparoscopic technique using needle-type forceps is introduced.

Purpose of the Study:

• To evaluate the feasibility and safety of a modified transumbilical two-port laparoscopic appendectomy in pediatric patients.
• To compare the outcomes of this novel technique with traditional laparoscopic appendectomy.

Main Methods:

• A modified transumbilical two-port laparoscopic technique was performed on 30 pediatric patients.
• The procedure utilized a 5-mm disposable laparoscopic trocar, needle-type grasping forceps, and 0- Mersilk Silk suture.
• Clinical indicators, intraoperative conditions, and postoperative follow-up data were collected and analyzed.

Main Results:

• All 30 operations were successfully completed by a single surgeon.
• No intraoperative adverse events or postoperative complications were observed.
• The technique demonstrated technical feasibility and clinical safety.

Conclusions:

• The modified transumbilical two-port laparoscopic appendectomy is a safe and feasible option for uncomplicated acute appendicitis in children.
• This technique offers excellent cosmetic outcomes and reduced surgical trauma compared to traditional methods.