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One-trocar appendectomy in pediatric surgery

¹Division of Pediatric Surgery, Federico II University of Naples, Italy.

Surgical Endoscopy

|February 28, 1998

Summary

This summary is machine-generated.

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Single-trocar laparoscopic appendectomy offers a safe and effective approach for treating appendicitis in children. This minimally invasive technique resulted in no complications and a short hospital stay for pediatric patients.

Area of Science:

Pediatric Surgery
Minimally Invasive Surgery

Background:

Laparoscopic appendectomy is a recognized safe alternative to open appendectomy for appendicitis.
Pediatric appendicitis management benefits from minimally invasive techniques.

Purpose of the Study:

To evaluate the safety and efficacy of single-trocar laparoscopic appendectomy in pediatric patients.
To report the author's experience with this specific technique.

Main Methods:

Performed 51 laparoscopic appendectomies in children aged 4-16 years.
Utilized a single infraumbilical trocar for the last 25 cases.
Exteriorized the appendix for extracorporeal appendectomy.

Main Results:

No intra- or perioperative mortality or morbidity observed.

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Mean hospitalization was 2 days (range 1-4 days).

Maximal follow-up of 20 months showed no clinical issues or visible scars.

Conclusions:

Single-trocar laparoscopic appendectomy is a viable alternative for pediatric appendicitis.
The technique is safe, effective, and yields excellent cosmetic outcomes.
Further supports minimally invasive approaches in pediatric surgery.