Transumbilical laparoscopically assisted appendectomy: an alternative minimally invasive technique in pediatric patients.

摘要: Abstract Introduction: Transumbilical laparoscopically assisted appendectomy (TULAA) has been reported in the literature as an alternative to traditional three-port laparoscopic (LA). Our study compares outcomes between LA and one-trocar transumbilical technique a single institution over concurrent time frame for all cases of pediatric appendicitis. Methods: An Institutional Review Board–approved retrospective chart review appendectomies from July 2007 through June 2009 was performed. All were performed either or transumbilically. One surgeon predominantly used TULAA method, whereas other 2 surgeons strictly method. No converted open. Categorization specimens normal, acute, ruptured based on pathology reports. Outcomes analyzed each group included surgical duration, cost, length stay, fever (>101.5F), wound infection, ileus, postoperative abdominal-pelvic abscess. Results: A total 131 ...