Application of Transumbilical Extracorporeal Laparoscopic-assisted Appendectomy in the Treatment of Uncomplicated Appendicitis in Children
10.3969/j.issn.1009-6604.2025.03.008
- VernacularTitle:经脐腹腔镜辅助体外阑尾切除术治疗儿童非复杂性阑尾炎
- Author:
Anxiao MING
1
;
Yifeng SHAO
1
;
Mei DIAO
1
;
Qi LI
1
;
Long LI
1
Author Information
1. 首都儿科研究所附属儿童医院普外科,北京 100020
- Publication Type:Journal Article
- Keywords:
Uncomplicated appendicitis;
Children;
Transumbilical surgery;
Laparoscopic-assisted appendectomy
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(3):171-174
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy of transumbilical extracorporeal laparoscopic-assisted appendectomy(TUELAA)for pediatric uncomplicated appendicitis.Methods A retrospective analysis was conducted on 38 cases treated with TUELAA between January2019 and October2024.The median age was7.5 years old(range,2.4-16.3 years old).The duration of abdominal pain before admission was(20.6±10.6)h.Preoperative ultrasound revealed an average appendiceal diameter of(0.92±0.15)cm,with appendicoliths identified in15 cases.A vertical umbilical incision approximately1.5 cm in length was made,through which a 5 mm trocar(15 cm in length)with a 30° laparoscope and a 5 mm short trocar(9 cm in length)with grasping forceps were inserted.The abdominal cavity was explored,adhesions were dissected,and the appendiceal tip was grasped.The tissue between the two trocars was incised,and the appendix was extracted through the umbilical incision for extracorporeal ligation and excision.Results Among the 38 cases,31 had no significant adhesions around the appendix,and the appendectomy was successfully performed with smooth extraction of the appendix.In the remaining 7 cases with adhesions around the appendix,blunt laparoscopic dissection was used to release the adhesions.After the appendix tip was freed,it was extracted through the umbilical incision for complete excision.The surgical time was(27.1±8.6)min,and the postoperative hospitalization was1-3 d.Pathological diagnoses revealed32 cases of acute suppurative appendicitis and 6 cases of gangrenous appendicitis.No intravenous analgesics were used postoperatively.No discomfort such as abdominal pain was noted during telephone follow-ups for 2-68 months(median,58 months).Conclusion TUELAA demonstrates definite efficacy and favorable cosmetic outcomes for the treatment of pediatric uncomplicated appendicitis.
