ORIGINAL RESEARCH article
Front. Pediatr.
Sec. Pediatric Surgery
Volume 13 - 2025 | doi: 10.3389/fped.2025.1541702
This article is part of the Research TopicAdvances and Challenges in Neonatal Surgery: Congenital and Acquired ConditionsView all 14 articles
Transumbilical single-site double-port laparoscopic appendectomyTSSDPLA in children. Report of a single center experience with comparison with three-port laparoscopic appendectomyTPLA
Provisionally accepted
- 1Children's Hospital Affiliated to Shandong University, Ji nan, China
- 2Shandong Provincial Hospital, Jinan, Shandong Province, China
- 3Departments of Endocrinology, Jinan Central Hospital, Jinan, Shandong Province, China
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Objective: Transumbilical single-site double-port laparoscopic appendectomy (TSSDPLA) represents an innovative and minimally invasive approach for managing acute appendicitis. This study aims to compare the clinical outcomes of TSSDPLA versus three-port laparoscopic appendectomy (TPLA) in a pediatric series.Method: A retrospective analysis was conducted on 246 patients between July 2023 and July 2024 at the Department of General Surgery, Children's Hospital affiliated to Shandong University. The patients were categorized into two groups: the TSSDPLA group and the TPLA group. Outcomes including patient demographics, leukocyte count upon arrival, duration of the operation, costs associated with the operating room, and any complications encountered. Results: The results indicated no significant differences between the TSSDPLA and TPLA groups in terms of age, gender, leukocyte counts, liquid diet, length of hospital stay, pathology or complications. However, the mean operating room costs were significantly lower in the TSSDPLA group (p<0.001). Additionally, the mean operation time for the TSSDPLA group was marginally longer compared to the TPLA group.Conclusions：TSSDPLA is a reliable technical technique for the management of acute appendicitis. This approach offers several advantages, including improved cosmetic outcomes, reduced surgical trauma, and lower costs.
Keywords: minimally invasive surgery, pediatric, Laparoscopic appendectomy, Transumbilical, surgical treatment
Received: 08 Dec 2024; Accepted: 18 Jun 2025.
Copyright: © 2025 Qin, Liu, Xia, Tang, Zhang and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Shisong Zhang, Children's Hospital Affiliated to Shandong University, Ji nan, China
Lulu Wang, Shandong Provincial Hospital, Jinan, 250021, Shandong Province, China
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