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Eur J Pediatr Surg 2012; 22(03): 201-206
DOI: 10.1055/s-0032-1320015
Review
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Minimally Invasive Approach to Appendectomy: Is Less Better?

Corey W. Iqbal
1   The Children's Mercy Hospital, Kansas City, Missouri, United States
,
Daniel J. Ostlie
1   The Children's Mercy Hospital, Kansas City, Missouri, United States
› Author Affiliations
Further Information

Publication History

Publication Date:
05 July 2012 (online)

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Abstract

The benefits of the three-port laparoscopic appendectomy (TPLA) are now appreciated. Included in these advantages are reduced postoperative pain, reduced hospitalization, early return to routine activities, and a definite cosmetic benefit over the open approach. Recently, the single-incision laparoscopic technique for several disease processes has been popularized. The single-incision approach through the umbilicus is ideally suited for patients with nonperforated appendicitis. This article will review our operative technique for both the TPLA and single-incision laparoscopic appendectomy, and then review the available literature that compares benefits of one approach over the other. When comparing these two approaches, variables that will be discussed include infectious complications, operative time and cost, and the need for postoperative pain medication.

Keywords

appendectomy - appendicitis - laparoscopy - single-incision laparoscopic appendectomy - pediatric literature
 

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