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Role of the transumbilical laparoscopic‐assisted single‐channel, single‐port procedure in an interval appendectomy for pediatric mass‐forming appendicitis: A preliminary retrospective analysis
Author(s) -
Ohno Yasuharu
Publication year - 2014
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12111
Subject(s) - medicine , port (circuit theory) , surgery , appendicitis , retrospective cohort study , laparoscopy , appendix , laparoscopic surgery , single center , electrical engineering , engineering , paleontology , biology
A transumbilical laparoscopic‐assisted single‐channel, single‐port procedure was introduced during laparoscopic interval appendectomy for mass‐forming appendicitis in children. The aim of this study was to evaluate the results of the original laparoscopic interval appendectomy. Methods This study analyzed 31 children who underwent laparoscopic interval appendectomy using a single‐channel, single‐port procedure. The appendectomy was usually planned 8–12 weeks following initial conservative treatment. The procedure was a single‐channel surgery using a 12‐mm single port. Both a 5‐mm telescope and grasper were inserted simultaneously into the single channel. The grasper held the appendix, and an extracorporeal appendectomy was performed. Results Appendectomy was planned for 29 patients, as 2 patients deviated from the protocol. The procedure was successful in 21 patients (72.4%). An accessory port was necessary in eight patients, two of whom successfully underwent laparoscopic surgery; the remaining six were converted to open appendectomy. The average length of surgery was 43 min in the single‐channel, single‐port procedure. No postoperative complications occurred in any patient. Conclusion The single‐channel, single‐port procedure was successfully performed in over 70% of the patients. This preliminary retrospective analysis indicates that the procedure is safe and potentially beneficial in children with mass‐forming appendicitis who require laparoscopic interval appendectomy.