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Dear Sirs,Dr. Valioulis et al presented an elegant two-trocar laparoscopicassisted method to optimise appendectomy in children. Having first used a videoscope introduced through a 5-mm umbilical port to inspect the abdomen, they reinserted the scope through another 5-mm cannula in the suprapubic region to visualise the appendix while it was being seized by a 5-mm endograsper and exteriorised through the umbilical incision. A conventional appendectomy was accomplished.Letter to the Editors 354 Affiliation