Transumbilical single-site double-port laparoscopic appendectomy versus three-port laparoscopic appendectomy in children: a single center experience

Abstract

Abstract Objective：Transumbilical single-site double-port laparoscopic appendectomy (TSSDPLA) is a new and minimally invasive technique for the treatment of acute appendicitis. This study aimed to explore the clinical outcomes of TSSDPLA versus three-port laparoscopic appendectomy(TPLA) for children with acute appendicitis． Methods：A total of 246 patients who underwent laparoscopic appendectomy between July 2022 and July 2023 at Department of General Surgery, Children's Hospital affiliated to Shandong University were were divided into two groups: TSSDPLA and TPLA groups. The collected data were: patient demographics, leukocyte count on arrival, operation time, operating room costs, and complications. Results: No significant differences in age, gender, leukocyte counts, liquid diet, length of stay pathology or complications were found between TSSDPLA and TPLA groups. The mean operating room costs were significantly lower in TSSDPLA group(p<0.001), and the mean operation time of the TSSDPLA group is slightly longer than that of the TPLA group. Conclusions：Transumbilical single-site double-port laparoscopic appendectomy (TSSDPLA) was a technically feasible method of treating uncomplicated acute appendicitis compared with TPLA. It has advantages such as better cosmetic incision, less trauma, lower cost. This’s a supplement and improvement to three-port laparoscopic surgery. It can be used widely.