Articles
Vol. 45 No. 1 (2023)
https://doi.org/10.4081/pmc.2023.306

Transumbilical laparoscopic-assisted appendectomy versus laparoscopic appendectomy in children: a single center experience

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Received: 12 January 2023
Accepted: 19 March 2023
Published: 27 April 2023
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laparoscopic appendectomy, laparoscopic learning curve, minimally invasive surgery, pediatric appendicitis, pediatric surgery

Authors

Edoardo Bindi
edo.bindi88@hotmail.it
Pediatric Surgery Unit, Salesi Children’s Hospital, Ancona, Italy; Università Politecnica of Marche, Ancona, Italy.
Fabiano Nino
Pediatric Surgery Unit, Salesi Children’s Hospital, Ancona, Italy.
Francesco Pierangeli
https://orcid.org/0000-0002-5938-303X
Pediatric Surgery Unit, Salesi Children’s Hospital, Ancona, Italy.
Michele Ilari
Pediatric Surgery Unit, Salesi Children’s Hospital, Ancona, Italy.
Taisia Bollettini
https://orcid.org/0000-0002-6494-7282
Pediatric Surgery Unit, Salesi Children’s Hospital, Ancona, Italy.
Elisa Chiarella
Pediatric Surgery Unit, Salesi Children’s Hospital, Ancona, Italy.
Francesca Mariscoli
Pediatric Surgery Unit, Salesi Children’s Hospital, Ancona, Italy.
Gianluca Gentilucci
Pediatric Surgery Unit, Salesi Children’s Hospital, Ancona, Italy.
Alba Cruccetti
Pediatric Surgery Unit, Salesi Children’s Hospital, Ancona, Italy.
Giovanni Cobellis
Pediatric Surgery Unit, Salesi Children’s Hospital, Ancona, Italy; Università Politecnica of Marche, Ancona, Italy.

Laparoscopic Appendectomy (LPSA) is the first choice for appendectomy in pediatric surgery. Trans-Umbilical Laparoscopic Assisted Appendicectomy (TULAA) is another used technique. We compared both these procedures used for the treatment of acute appendicitis. The study was conducted between January 2019 to December 2020. Patients were divided into two groups: LPSA and TULAA groups. The collected data were: operative time, number of conversions, time of canalization and hospital stay. A total of 181 patients were included: 73 were kept in the LPSA and 108 in the TULAA group. Mean operative time was 70.9 minutes (range 45-130 min) for LPS and 56.4 (30-145 min) for TULAA group (p <0.0001). Complications rate showed no statistically significant difference between both the two groups. However, conversions showed a statistically significant difference (p=0.04). Both techniques showed similar results. TULAA technique takes a significantly shorter operating time. The selection between LPSA and TULAA techniques depends on the experience of the surgeon’s work and the personal laparoscopic learning curve. In our experience LPSA was a useful technique to improve the laparoscopic skill of the pediatric surgery residents.

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Citations

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Transumbilical laparoscopic-assisted appendectomy versus laparoscopic appendectomy in children: a single center experience. (2023). La Pediatria Medica E Chirurgica, 45(1). https://doi.org/10.4081/pmc.2023.306
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