Abstract
IntroductionSingle-port laparoscopy has been used in any areas of surgery, including appendectomy, to reduce the operative stress and enhance postoperative recovery procedure. This paper introduces our attempt to perform single-port laparoscopic appendectomy using conventional laparoscoopic instruments and a needle-type grasping forceps (SLAN), which has dominant advantage in cosmetic appearance. MethodsWe report six pediatric patients who underwent SLAN for uncomplicated appendicitis from April to November 2019. SLAN was performed transumbilically, while conventional laparoscopic instruments and needle-type grasping forceps were both used. After routine intracorporeal appendectomy was completed, the pathological appendix was extracted through the single-port site, while a 10 mm trocar was used to avoid incision infectious. Clinical data and postoperative follow-up data were collected and analyzed to evaluate the feasibility, safety, and clinical outcomes of this novel technique. ResultsSLAN was successfully performed in all six pediatric patients. The median operative time, first exhaust time after surgery, pain score of postoperative day 1, and postoperative hospital stay were 69 (range, 50−85) min, 1.33 (range, 1–2) d, 0.83 (range, 0–3) score, 1.5 (range, 1–2) d, respectively. Neither intraoperative nor postoperative complications were noted, while no incision infectious, adhesive intestinal obstruction, and abdominal abscess were observed with 2–9 months follow up. DiscussionThough there are many methods to perform single-port laparoscopic appendectomy, the use of needle grasping forceps in laparoscopic appendectomy has been confirmed a new choice for uncomplicated appendicitis in children. ConclusionSLAN is a feasible and safe technique to treat acute uncomplicated appendicitis in children. To be emphasized, surgeons must strictly grasp the indications for this surgery.
Highlights
Single-port laparoscopy has been used in any areas of surgery, including appendectomy, to reduce the operative stress and enhance postoperative recovery procedure
More and more concerns have been concentrated to the application of laparoscopy, especially single-port laparoscopy, in the treatment of acute appendicitis, relating to the rising requirement of mini-trauma and cosmetic appearance
We introduced our experience with SLAN for the treatment of six pediatric patients with uncomplicated appendicitis from April to November 2019, and assessed the feasibility and safety of this technique
Summary
Single-port laparoscopy has been used in any areas of surgery, including appendectomy, to reduce the operative stress and enhance postoperative recovery procedure. This paper introduces our attempt to perform single-port laparoscopic appendectomy using conventional laparoscoopic instruments and a needle-type grasping forceps (SLAN), which has dominant advantage in cosmetic appearance. Our centre successfully performed single-port laparoscopic appendectomy using a needletype grasping forceps (SLAN) for a pediatric patient with acute simplex appendicitis in April 2019. SLAN was performed with a 1 cm transumbilical incision, while conventional laparoscopic instruments and a needle-type grasping forceps were both used. The main operative procedure is similar to conventional three-port laparoscopic appendectomy, which can shorten the learning curve, and warrant safety, along with the advantages of favourable cosmetic results, minimal trauma, and enhanced postoperative recovery. We introduced our experience with SLAN for the treatment of six pediatric patients with uncomplicated appendicitis from April to November 2019, and assessed the feasibility and safety of this technique
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