Role of the transumbilical laparoscopic‐assisted single‐channel, single‐port procedure in an interval appendectomy for pediatric mass‐forming appendicitis: A preliminary retrospective analysis

Ohno, Yasuharu

doi:10.1111/ases.12111

Cited by 6 publications

(11 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although laparoscopic appendectomy has been shown to offer many advantages with regard to shorter hospital stay, less postoperative pain, and lower rate of infections, few studies have assessed the safety and effectiveness of SLIA for patients with complicated appendicitis . Ohno and Kang et al showed the safety and feasibility of SLIA without comparison with EA for appendicitis with a peri‐appendiceal abscess in pediatric and adult patients, respectively, and reported that the complication rate was 8.0%. The morbidity rate reported in other reports on IA for complicated appendicitis without single‐site laparoscopic appendectomy was 12.4%‐15%, which is similar to our morbidity rate .…”

Section: Discussionmentioning

confidence: 99%

“…Single‐site laparoscopic interval appendectomy (SLIA) after CT to ameliorate inflammation and eradicate the abscess may be safer and less invasive than EA, providing the advantages of minimally invasive surgery, such as reduced postoperative pain and improved cosmetic outcome, even if the appendicitis is severe. However, only a few studies of SLIA for complicated appendicitis have discussed its effectiveness . Therefore, the present study investigated patients with severe complicated appendicitis who underwent SLIA and analyzed perioperative outcomes compared to EA.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical outcomes of single‐site laparoscopic interval appendectomy for severe complicated appendicitis: Comparison to conventional emergency appendectomy

Miyo

Urabe

Hyuga

et al. 2019

Annals of Gastroent Surgery

View full text Add to dashboard Cite

Aim Single‐site laparoscopic interval appendectomy (SLIA) for severe complicated appendicitis after conservative treatment (CT) to ameliorate inflammation and eradicate the abscess should be safer and less invasive than emergency appendectomy (EA). However, only a few reports have been published regarding SLIA. Methods We retrospectively collected data on 264 consecutive patients admitted to Kinan Hospital for treatment of appendicitis between 2012 and 2018. The safety and feasibility of SLIA and its perioperative outcomes for severe complicated appendicitis were investigated. Results A total of 61 patients were included in this study, 25 of whom underwent CT and 36 EA. Among the 25 patients who underwent CT, 23 (92.0%) succeeded; a total of 16 patients (69.5%) underwent SLIA. Compared to the EA group, the SLIA group had less bleeding (median volume 8.5 vs 50 mL, P = .005) and lower rate of expansion surgery (0% vs 27.8%, P = .022). Although the postoperative hospital stay was shorter in the SLIA group than in the EA group (9 vs 12 days, P = .008), the total hospital stay, including the CT period, was longer in the SLIA group than in the EA group (24 vs 12 days, P < .001). Conclusion SLIA is safe, feasible, and less invasive than EA and may provide the advantages of minimally invasive surgery even if appendicitis is severe. SLIA may be a promising option for complicated appendicitis in select cases despite its disadvantage of prolonging the hospital stay.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical outcomes of single‐site laparoscopic interval appendectomy for severe complicated appendicitis: Comparison to conventional emergency appendectomy

Miyo

Urabe

Hyuga

et al. 2019

Annals of Gastroent Surgery

View full text Add to dashboard Cite

show abstract

“…Bu farklı yaklaşımlar içerisinde yer alan ve en sık kullanılan yöntem olan elektif şartlardaki İA için literatürde pek çok farklı çalışma bulunmaktadır (4)(5)(6)9,10,14) .…”

Section: Discussionunclassified

“…Yara yeri akıntısı ve enfeksiyon, hematom oluşumu, ameliyat sonrası uzamış ileus ve ince bağırsak tıkanıklıkları literatürde en sık bildirilmiş olan komplikasyonlardır (19,20) . İşlemin laparoskopik olarak yapılması komplikasyon oranını, hastanede kalış süresini daha da azaltmaktadır (6) . Bu çalışmada 36 hastanın yalnızca ikisinde (%5,5) ameliyat sonrası komplikasyon geliştiği gözlenmiştir.…”

Section: Discussionunclassified

“…Plastrone apendisit tedavisinde İA yaygın kullanılmasına karşın İA olası sonuçları ve etkinliği ile ilgili literatürde oldukça az bilgi bulunmaktadır. Çalışmalara bakıldığında, İA sıklıkla açık yöntem ile yapılmakta olup, minimal invaziv yaklaşım ile ilgili çocuklarda çok fazla çalışma yapılmamıştır (6)(7)(8) . Bu çalışmanın amacı, plastrone apendisit tanısı ile başvuran ve laparoskopik elektif İA uygulanan hastaların klinik sonuçlarını literatür bilgisi ile karşılaştırarak minimal invaziv yöntemin morbidite yönünden sonuçlarını belirlemektir.…”

Section: Introductionunclassified

See 1 more Smart Citation

Laparoscopıc Interval Appendectomy in Chıldren Wıth Plastron Appendıcıtıs

Taştekin¹,

Ergün²,

Türedi³

et al. 2015

Tccd

View full text Add to dashboard Cite

Çocukluk çağı apendisitlerinin %2-9'unda apendisitin komplike olması sonucu apse ve kitle gelişimi olabilmektedir. Bu çocukların takip ve tedavisi literatürdeki tartışmalı konulardan biridir. Akut dönemin konservatif tedavisi ve elektif şartlarda yapılan interval apendektomi (İA) günümüzde kabul edilen önemli tedavi yöntemlerinden biridir. Plastrone apendisit tanısı ile başvuran ve elektif laparoskopik İA uygulanan hastaların klinik sonuçlarının sunulması amaçlandı.

show abstract

Single-incision laparoscopic appendectomy versus traditional three-hole laparoscopic appendectomy for acute appendicitis in children by senior pediatric surgeons: a multicenter study from China

et al. 2023

View full text Add to dashboard Cite

ObjectiveThe aim of this study was to evaluate the clinical efficacy of single-incision laparoscopy appendectomy (SILA) and traditional three-hole laparoscopy appendectomy (THLA) for the treatment of acute appendicitis in children.MethodsThe clinical data of children (<14 years old) who underwent laparoscopic appendectomy at Yijishan Hospital of Wannan Medical College, Hubei Provincial Maternal Health Hospital and Qingdao Women and Children's Medical Center from January 2019 to June 2022 were retrospectively analyzed. According to the operation method, the patients were assigned to the SILA group or the THLA group. The clinical data, including the efficacy, and the surgical details, including the complications, of the two surgical methods were compared. The personal information of the children and the time of disease onset were recorded.ResultsIn this study, the data of 588 patients, including 385 patients in the THLA group and 203 patients in the SILA group were collected. The baseline characteristics between the two groups of patients before surgery were comparable. There was no significant difference in the average operation time between the THLA group and the SILA group (56.31 ± 1.83 min vs. 57.48 ± 1.15 min, P > 0.05). There was also no significant difference in the average length of hospital stay between the THLA group and the SILA group (6.91 ± 0.24 days vs. 7.16 ± 0.36 days, P > 0.05). However, the FLACC scores of the SILA group (3.71 ± 0.78) were significantly lower than those of the THLA group (3.99 ± 0.56) on the second postoperative day, and the difference was significant (P < 0.05). The score of the questionnaire evaluating cosmetic appearance of the postoperative abdomen was significantly higher in the SILA group (15.81 ± 0.36) than in the THLA group (13.10 ± 0.24) (P < 0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P > 0.05).ConclusionSILA is more advantageous in terms of postoperative FLACC scores and cosmetic appearance in children than THLA. There was no significant difference in the incidence of complications or other aspects between the two surgical methods.

show abstract

Role of the transumbilical laparoscopic‐assisted single‐channel, single‐port procedure in an interval appendectomy for pediatric mass‐forming appendicitis: A preliminary retrospective analysis

Cited by 6 publications

References 24 publications

Clinical outcomes of single‐site laparoscopic interval appendectomy for severe complicated appendicitis: Comparison to conventional emergency appendectomy

Clinical outcomes of single‐site laparoscopic interval appendectomy for severe complicated appendicitis: Comparison to conventional emergency appendectomy

Laparoscopıc Interval Appendectomy in Chıldren Wıth Plastron Appendıcıtıs

Single-incision laparoscopic appendectomy versus traditional three-hole laparoscopic appendectomy for acute appendicitis in children by senior pediatric surgeons: a multicenter study from China

Contact Info

Product

Resources

About