Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis in Children

Hayet Zitouni; Hamdi Louati; Ahmed Turki; Ahmed Guirat; Mahdi Ben Dhaou; Rafik Mzali; Riadh Mhiri

doi:doi:10.11648/j.ajcem.20190703.12

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Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis in Children

Hayet Zitouni, Hamdi Louati, Ahmed Turki, Ahmed Guirat, Mahdi Ben Dhaou, Rafik Mzali, Riadh Mhiri

Published in American Journal of Clinical and Experimental Medicine (Volume 7, Issue 3)

Received: 7 July 2019 Accepted: 26 July 2019 Published: 20 September 2019

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Abstract

Appendicitis is the most common indication for urgent surgery in children. Single-incision laparoscopic surgery (SILS) has further improved surgical outcomes. In this study we compared SILS and conventional in terms of peroperative difficulty and outcomes. A retrospective chart review was performed interesting all patients operated for acute appendicitis in the department of pediatric surgery Hedi Chaker hospital and department of surgery Habib Borguiba hospital between January 2006 and December 2016. Among the total of 181 patients, LA and SILS were performed respectively on 51 (28.2%) and 137 patients (71.8%). In 41.9% of patients of conventional LA it was a complicated appendicitis and in 29.8% of SILS group it was a complicated appendicitis (p=0.22). The mean operative time was 63.7 min for the conventional LA group and 71.79 min for the SILS group, it was not statistically significant (p=0.046). Conversion was made in 13.7% of patients in the conventional LA and in 5.8% in patients with SILS (p=0.14). The median length of hospital stay was for the conventional LA group 3.5 days and for SILS group 2.3 days (p=0.04). The current study found that SILS provided comparable surgical outcomes to conventional LA and did not result in increased postoperative complication rates.

Published in	American Journal of Clinical and Experimental Medicine (Volume 7, Issue 3)
DOI	10.11648/j.ajcem.20190703.12
Page(s)	71-74
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Appendectomy, Laparoscopy, Conventional, Children

References

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[2]	K. Semm, “Endoscopic appendectomy,” Endoscopy, vol. 15, no. 2, pp. 59–64, 1983.
[3]	Towfigh S, Chen F, Mason R et al. Laparoscopic appendectomy significantly reduces length of stay for perforated appendicitis. Surg Endosc 2006, 20: 495–499.
[4]	Froghi F, Sodergren MH, Darzi A, et al. Single-incision laparoscopic surgery (SILA) in general surgery. A review of current practice. Surg Laparosc Endosc Percutan Tech 2010; 20: 191-204.
[5]	MAHDI, Ben Dhaou, RAHMA, Chtourou, MOHAMED, Jallouli, et al. Single-port laparoscopic surgery in children: A new alternative in developing countries. African journal of paediatric surgery: AJPS, 2015, vol. 12, no 2, p. 122-125.
[6]	Esposito C One-trocar appendectomy in pediatric surgery. Surg Endosc 1998, 12: 177–178.
[7]	Oltmann SC, Garcia NM, Ventura B et al. Single-incision laparoscopic surgery: feasibility for pediatric appendectomies. J Pediatr Surg 2010, 45: 1208–1212.
[8]	N. M. Chandler and P. D. Danielson, “Single-incision laparoscopic appendectomy vs multiport laparoscopic appendectomy in children: a retrospective comparison,” Journal of Pediatric Surgery, vol. 45, no. 11, pp. 2186–2190, 2010.
[9]	Golebiewski A, Losin M, Murawski M, Wiejek A, Lubacka D, Czauderna P. One, two or three port appendectomy—a rational approach. Videosurg Miniinv 2013, 8 (3): 226–231.
[10]	X. Li, J. Zhang, L. Sang et al., “Laparoscopic versus conventional appendectomy - a meta-analysis of randomized controlled trials,” BMC Gastroenterology, vol. 10, article 129, 2010.
[11]	Teoh AY, Chiu PW, Wong TC, Wong SK, Lai PB, Ng EK. A case controlled comparison of single-site access versus conventional three-port laparoscopic appendectomy. Surg Endosc 2011; 25: 1415-9.
[12]	Park J, Kwak H, Kim SG, Lee S. Single-port laparoscopic appendectomy: comparison with conventional laparoscopic appendectomy. J Laparoendosc Adv Surg Tech A 2012; 22: 142-5.
[13]	Teoh AY, Chiu PW, Wong TC, Wong SK, Lai PB, Ng EK. A case-controlled comparison of single-site access versus conventional three-port laparoscopic appendectomy. Surg Endosc 2011; 25: 1415-9.
[14]	Ahmed I, Cook JA, Duncan A, Krukowski ZH, Malik M, MacLennan G, et al. Single port incision laparoscopic surgery compared with standard three-port laparoscopic sugery for appendicectomy: a randomized controlled trial. Surg Endosc 2015; 29: 77-85.
[15]	Kim HO, Yoo CH, Lee SR, Son BH, Park YL, Shin JH, et al. Pain after laparoscopic appendectomy: a comparison of transumbilical single-port and conventional laparoscopic surgery. J Korean Surg Soc 2012; 82: 172-8.
[16]	Mayer S, Werner A, Wachowiak R, Buehligen U, Boehm R, Geyer C, et al. Single-incision multiport laparoscopy does not cause more pain than conventional laparoscopy: a prospective evaluation in children undergoing appendectomy. J Laparoendosc Adv Surg Tech A 2011; 21: 753-6.
[17]	Kang DB, Lee SH, Lee SY, Oh JT, Park DE, Lee C, et al. Application of single incision laparoscopic surgery for appendectomy in children. J Korean Surg Soc 2012; 82: 110-5.

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APA Style

Hayet Zitouni, Hamdi Louati, Ahmed Turki, Ahmed Guirat, Mahdi Ben Dhaou, et al. (2019). Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis in Children. American Journal of Clinical and Experimental Medicine, 7(3), 71-74. https://doi.org/10.11648/j.ajcem.20190703.12

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ACS Style

Hayet Zitouni; Hamdi Louati; Ahmed Turki; Ahmed Guirat; Mahdi Ben Dhaou, et al. Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis in Children. Am. J. Clin. Exp. Med. 2019, 7(3), 71-74. doi: 10.11648/j.ajcem.20190703.12

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AMA Style

Hayet Zitouni, Hamdi Louati, Ahmed Turki, Ahmed Guirat, Mahdi Ben Dhaou, et al. Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis in Children. Am J Clin Exp Med. 2019;7(3):71-74. doi: 10.11648/j.ajcem.20190703.12

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@article{10.11648/j.ajcem.20190703.12,
  author = {Hayet Zitouni and Hamdi Louati and Ahmed Turki and Ahmed Guirat and Mahdi Ben Dhaou and Rafik Mzali and Riadh Mhiri},
  title = {Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis in Children},
  journal = {American Journal of Clinical and Experimental Medicine},
  volume = {7},
  number = {3},
  pages = {71-74},
  doi = {10.11648/j.ajcem.20190703.12},
  url = {https://doi.org/10.11648/j.ajcem.20190703.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20190703.12},
  abstract = {Appendicitis is the most common indication for urgent surgery in children. Single-incision laparoscopic surgery (SILS) has further improved surgical outcomes. In this study we compared SILS and conventional in terms of peroperative difficulty and outcomes. A retrospective chart review was performed interesting all patients operated for acute appendicitis in the department of pediatric surgery Hedi Chaker hospital and department of surgery Habib Borguiba hospital between January 2006 and December 2016. Among the total of 181 patients, LA and SILS were performed respectively on 51 (28.2%) and 137 patients (71.8%). In 41.9% of patients of conventional LA it was a complicated appendicitis and in 29.8% of SILS group it was a complicated appendicitis (p=0.22). The mean operative time was 63.7 min for the conventional LA group and 71.79 min for the SILS group, it was not statistically significant (p=0.046). Conversion was made in 13.7% of patients in the conventional LA and in 5.8% in patients with SILS (p=0.14). The median length of hospital stay was for the conventional LA group 3.5 days and for SILS group 2.3 days (p=0.04). The current study found that SILS provided comparable surgical outcomes to conventional LA and did not result in increased postoperative complication rates.},
 year = {2019}
}

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TY  - JOUR
T1  - Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis in Children
AU  - Hayet Zitouni
AU  - Hamdi Louati
AU  - Ahmed Turki
AU  - Ahmed Guirat
AU  - Mahdi Ben Dhaou
AU  - Rafik Mzali
AU  - Riadh Mhiri
Y1  - 2019/09/20
PY  - 2019
N1  - https://doi.org/10.11648/j.ajcem.20190703.12
DO  - 10.11648/j.ajcem.20190703.12
T2  - American Journal of Clinical and Experimental Medicine
JF  - American Journal of Clinical and Experimental Medicine
JO  - American Journal of Clinical and Experimental Medicine
SP  - 71
EP  - 74
PB  - Science Publishing Group
SN  - 2330-8133
UR  - https://doi.org/10.11648/j.ajcem.20190703.12
AB  - Appendicitis is the most common indication for urgent surgery in children. Single-incision laparoscopic surgery (SILS) has further improved surgical outcomes. In this study we compared SILS and conventional in terms of peroperative difficulty and outcomes. A retrospective chart review was performed interesting all patients operated for acute appendicitis in the department of pediatric surgery Hedi Chaker hospital and department of surgery Habib Borguiba hospital between January 2006 and December 2016. Among the total of 181 patients, LA and SILS were performed respectively on 51 (28.2%) and 137 patients (71.8%). In 41.9% of patients of conventional LA it was a complicated appendicitis and in 29.8% of SILS group it was a complicated appendicitis (p=0.22). The mean operative time was 63.7 min for the conventional LA group and 71.79 min for the SILS group, it was not statistically significant (p=0.046). Conversion was made in 13.7% of patients in the conventional LA and in 5.8% in patients with SILS (p=0.14). The median length of hospital stay was for the conventional LA group 3.5 days and for SILS group 2.3 days (p=0.04). The current study found that SILS provided comparable surgical outcomes to conventional LA and did not result in increased postoperative complication rates.
VL  - 7
IS  - 3
ER  -

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Author Information

Hayet Zitouni

Department of Pediatric Surgery, Hedi Chaker Hospital, Medical University of Sfax, Sfax, Tunisia
Hamdi Louati

Department of Pediatric Surgery, Hedi Chaker Hospital, Medical University of Sfax, Sfax, Tunisia
Ahmed Turki

Department of Surgery, Habib Bourguiba Hospital, Medical University of Sfax, Sfax, Tunisia
Ahmed Guirat

Department of Surgery, Habib Bourguiba Hospital, Medical University of Sfax, Sfax, Tunisia
Mahdi Ben Dhaou

Department of Pediatric Surgery, Hedi Chaker Hospital, Medical University of Sfax, Sfax, Tunisia
Rafik Mzali

Department of Surgery, Habib Bourguiba Hospital, Medical University of Sfax, Sfax, Tunisia
Riadh Mhiri

Department of Pediatric Surgery, Hedi Chaker Hospital, Medical University of Sfax, Sfax, Tunisia

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APA Style

Hayet Zitouni, Hamdi Louati, Ahmed Turki, Ahmed Guirat, Mahdi Ben Dhaou, et al. (2019). Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis in Children. American Journal of Clinical and Experimental Medicine, 7(3), 71-74. https://doi.org/10.11648/j.ajcem.20190703.12

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ACS Style

Hayet Zitouni; Hamdi Louati; Ahmed Turki; Ahmed Guirat; Mahdi Ben Dhaou, et al. Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis in Children. Am. J. Clin. Exp. Med. 2019, 7(3), 71-74. doi: 10.11648/j.ajcem.20190703.12

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AMA Style

Hayet Zitouni, Hamdi Louati, Ahmed Turki, Ahmed Guirat, Mahdi Ben Dhaou, et al. Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis in Children. Am J Clin Exp Med. 2019;7(3):71-74. doi: 10.11648/j.ajcem.20190703.12

Copy | Download

@article{10.11648/j.ajcem.20190703.12,
  author = {Hayet Zitouni and Hamdi Louati and Ahmed Turki and Ahmed Guirat and Mahdi Ben Dhaou and Rafik Mzali and Riadh Mhiri},
  title = {Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis in Children},
  journal = {American Journal of Clinical and Experimental Medicine},
  volume = {7},
  number = {3},
  pages = {71-74},
  doi = {10.11648/j.ajcem.20190703.12},
  url = {https://doi.org/10.11648/j.ajcem.20190703.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20190703.12},
  abstract = {Appendicitis is the most common indication for urgent surgery in children. Single-incision laparoscopic surgery (SILS) has further improved surgical outcomes. In this study we compared SILS and conventional in terms of peroperative difficulty and outcomes. A retrospective chart review was performed interesting all patients operated for acute appendicitis in the department of pediatric surgery Hedi Chaker hospital and department of surgery Habib Borguiba hospital between January 2006 and December 2016. Among the total of 181 patients, LA and SILS were performed respectively on 51 (28.2%) and 137 patients (71.8%). In 41.9% of patients of conventional LA it was a complicated appendicitis and in 29.8% of SILS group it was a complicated appendicitis (p=0.22). The mean operative time was 63.7 min for the conventional LA group and 71.79 min for the SILS group, it was not statistically significant (p=0.046). Conversion was made in 13.7% of patients in the conventional LA and in 5.8% in patients with SILS (p=0.14). The median length of hospital stay was for the conventional LA group 3.5 days and for SILS group 2.3 days (p=0.04). The current study found that SILS provided comparable surgical outcomes to conventional LA and did not result in increased postoperative complication rates.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis in Children
AU  - Hayet Zitouni
AU  - Hamdi Louati
AU  - Ahmed Turki
AU  - Ahmed Guirat
AU  - Mahdi Ben Dhaou
AU  - Rafik Mzali
AU  - Riadh Mhiri
Y1  - 2019/09/20
PY  - 2019
N1  - https://doi.org/10.11648/j.ajcem.20190703.12
DO  - 10.11648/j.ajcem.20190703.12
T2  - American Journal of Clinical and Experimental Medicine
JF  - American Journal of Clinical and Experimental Medicine
JO  - American Journal of Clinical and Experimental Medicine
SP  - 71
EP  - 74
PB  - Science Publishing Group
SN  - 2330-8133
UR  - https://doi.org/10.11648/j.ajcem.20190703.12
AB  - Appendicitis is the most common indication for urgent surgery in children. Single-incision laparoscopic surgery (SILS) has further improved surgical outcomes. In this study we compared SILS and conventional in terms of peroperative difficulty and outcomes. A retrospective chart review was performed interesting all patients operated for acute appendicitis in the department of pediatric surgery Hedi Chaker hospital and department of surgery Habib Borguiba hospital between January 2006 and December 2016. Among the total of 181 patients, LA and SILS were performed respectively on 51 (28.2%) and 137 patients (71.8%). In 41.9% of patients of conventional LA it was a complicated appendicitis and in 29.8% of SILS group it was a complicated appendicitis (p=0.22). The mean operative time was 63.7 min for the conventional LA group and 71.79 min for the SILS group, it was not statistically significant (p=0.046). Conversion was made in 13.7% of patients in the conventional LA and in 5.8% in patients with SILS (p=0.14). The median length of hospital stay was for the conventional LA group 3.5 days and for SILS group 2.3 days (p=0.04). The current study found that SILS provided comparable surgical outcomes to conventional LA and did not result in increased postoperative complication rates.
VL  - 7
IS  - 3
ER  -

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