Stepwise Approach to Laparoscopic Appendicectomy in Children View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2014-06

AUTHORS

Anisha Sarkar, Joselito Tantoco, Chris Kimber, Yves Heloury, Peter Ferguson, Wei Cheng

ABSTRACT

Traditionally, three ports are used in laparoscopic appendicectomy. However to reduce surgical incision and cost, it is feasible to remove the appendix using fewer ports. In this study, we compared the efficacy of stepwise and standard approach in laparoscopic appendicectomies in children. Between August 2008 and September 2010, 378 children with appendicitis were allotted to either the stepwise or standard laparoscopy group depending on the operating surgeon's preference. In the former group, an operating telescope was inserted first. The number of ports used was based on the pathology (stepwise approach). In the latter group, three ports were inserted in all patients (standard approach). The two groups were similar. In the stepwise group, we performed 95 single port (utilising a scope with an instrument channel), 37 two ports and 13 three ports appendicectomies. In the stepwise group, operating time was shorter (not yet statistically significant) and it reduced the port numbers by more than 50 %. The stepwise approach provides an evidence-based management of appendicitis with comparable outcomes. This procedure further reduces incision trauma, operating times and the cost of operation. However, the reduction of post-operative analgesic requirement needs further study. More... »

PAGES

243-246

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12262-013-0858-8

DOI

http://dx.doi.org/10.1007/s12262-013-0858-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1025580050

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25177128


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139 schema:name Department of Paediatric Surgery, Monash Medical Centre, Melbourne, VIC, Australia
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141 https://www.grid.ac/institutes/grid.419789.a schema:alternateName Monash Health
142 schema:name Level 5, Block E, 246 Clayton Road, Clayton, 3168, Melbourne, VIC, Australia
143 Southern Health, Melbourne, Australia
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