Two-trocar appendectomy in children - Description of technique and comparison with conventional laparoscopic appendectomy
Salö, Martin LU ; Järbur, Emil ; Hambraeus, Mette LU ; Ohlsson, Bodil LU ; Stenström, Pernilla LU
and Arnbjörnsson, Einar
LU
(2016)
In BMC Surgery
16(1).
- Abstract
Background: The aim of the study was to describe the technique of two-trocar laparoscopic appendectomy and compare the outcome between two- and three-trocar techniques in children. Methods: All children who underwent laparoscopic surgery for suspected appendicitis from 2006 to 2014 in a center for pediatric surgery were included in the study. Converted surgeries and patients with appendiceal abscess or concomitant intestinal obstruction were excluded. A total of 259 children underwent appendectomy with either two (35 %) or three (65 %) laparoscopic trocars according to the surgeons' preference and intraoperative judgment. Patient demographics, clinical symptoms, surgery characteristics, and complications were reviewed. Results: The mean... (More)
Background: The aim of the study was to describe the technique of two-trocar laparoscopic appendectomy and compare the outcome between two- and three-trocar techniques in children. Methods: All children who underwent laparoscopic surgery for suspected appendicitis from 2006 to 2014 in a center for pediatric surgery were included in the study. Converted surgeries and patients with appendiceal abscess or concomitant intestinal obstruction were excluded. A total of 259 children underwent appendectomy with either two (35 %) or three (65 %) laparoscopic trocars according to the surgeons' preference and intraoperative judgment. Patient demographics, clinical symptoms, surgery characteristics, and complications were reviewed. Results: The mean age of the children was 10.4 years (range, 1-14 years). The mean follow-up time was 41.2 months (SD ± 29.2). No significant differences in age, gender, weight, or signs and symptoms were found between the two- and three-trocar groups. The mean surgery time was significantly shorter in the two-trocar group (47 min) than in the three-trocar group (66 min; p < 0.001). The rates of surgical complications were 2 % vs. 4 %, (p = 0.501), and the rates of postoperative complications were 0 % vs. 5 % (p = 0.054), in the two- and three-trocar groups. The overall incidence of postoperative wound infection was low (<1 %) and did not differ between groups. Conclusions: Two-trocar laparoscopic appendectomy seems to be a safe and feasible technique with a low rate of postoperative wound infections. The present findings demonstrate that when the two-trocar technique could be applied, it is a good complement to the conventional three-trocar technique.
(Less)
- author
- Salö, Martin
LU
; Järbur, Emil
; Hambraeus, Mette
LU
; Ohlsson, Bodil
LU
; Stenström, Pernilla
LU
and Arnbjörnsson, Einar
LU
- organization
- publishing date
- 2016-08-04
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Acute abdomen, Appendectomy, Appendicitis, Children, Laparoscopy
- in
- BMC Surgery
- volume
- 16
- issue
- 1
- article number
- 52
- publisher
- BioMed Central (BMC)
- external identifiers
-
- pmid:27491442
- wos:000381962900001
- scopus:84982721180
- ISSN
- 1471-2482
- DOI
- 10.1186/s12893-016-0170-1
- language
- English
- LU publication?
- yes
- id
- 9ddc048e-72dd-4ef2-9b04-9f1ca9dade15
- date added to LUP
- 2016-09-20 14:15:06
- date last changed
- 2024-04-19 09:52:51
@article{9ddc048e-72dd-4ef2-9b04-9f1ca9dade15,
abstract = {{<p>Background: The aim of the study was to describe the technique of two-trocar laparoscopic appendectomy and compare the outcome between two- and three-trocar techniques in children. Methods: All children who underwent laparoscopic surgery for suspected appendicitis from 2006 to 2014 in a center for pediatric surgery were included in the study. Converted surgeries and patients with appendiceal abscess or concomitant intestinal obstruction were excluded. A total of 259 children underwent appendectomy with either two (35 %) or three (65 %) laparoscopic trocars according to the surgeons' preference and intraoperative judgment. Patient demographics, clinical symptoms, surgery characteristics, and complications were reviewed. Results: The mean age of the children was 10.4 years (range, 1-14 years). The mean follow-up time was 41.2 months (SD ± 29.2). No significant differences in age, gender, weight, or signs and symptoms were found between the two- and three-trocar groups. The mean surgery time was significantly shorter in the two-trocar group (47 min) than in the three-trocar group (66 min; p < 0.001). The rates of surgical complications were 2 % vs. 4 %, (p = 0.501), and the rates of postoperative complications were 0 % vs. 5 % (p = 0.054), in the two- and three-trocar groups. The overall incidence of postoperative wound infection was low (<1 %) and did not differ between groups. Conclusions: Two-trocar laparoscopic appendectomy seems to be a safe and feasible technique with a low rate of postoperative wound infections. The present findings demonstrate that when the two-trocar technique could be applied, it is a good complement to the conventional three-trocar technique.</p>}},
author = {{Salö, Martin and Järbur, Emil and Hambraeus, Mette and Ohlsson, Bodil and Stenström, Pernilla and Arnbjörnsson, Einar}},
issn = {{1471-2482}},
keywords = {{Acute abdomen; Appendectomy; Appendicitis; Children; Laparoscopy}},
language = {{eng}},
month = {{08}},
number = {{1}},
publisher = {{BioMed Central (BMC)}},
series = {{BMC Surgery}},
title = {{Two-trocar appendectomy in children - Description of technique and comparison with conventional laparoscopic appendectomy}},
url = {{http://dx.doi.org/10.1186/s12893-016-0170-1}},
doi = {{10.1186/s12893-016-0170-1}},
volume = {{16}},
year = {{2016}},
}