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Date Published: 10/03/2021
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DOI: https://doi.org/10.51298/vmj.v498i1.123
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Vol. 498 No. 1 (2021)
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Thị Hồng Vân, N., Ngọc Sơn, T., & Đức Hiệp, P. (2021). SINGLE TROCAR LAPAROSCOPIC APPENDECTOMY WITHOUT DRAINAGE FOR PERFORATED APPENDICITIS IN CHILDREN. Vietnam Medical Journal, 498(1). https://doi.org/10.51298/vmj.v498i1.123

SINGLE TROCAR LAPAROSCOPIC APPENDECTOMY WITHOUT DRAINAGE FOR PERFORATED APPENDICITIS IN CHILDREN

Nguyễn Thị Hồng Vân1,, Trần Ngọc Sơn1, Phạm Đức Hiệp1
1 Bệnh viện đa khoa Xanh Pôn, Hà Nội

Main Article Content

Abstract

Objectives: To present our experience with single trocar laparoscopic appendectomy without drainage (STAWoD) for perforated appendicitis (PA) in children. Methods: Medical records of all children undergoing STAWoD for PA in St. Paul Hospital between January 2018 and May 2020 were reviewed.  For STAWoD, we inserted a single 11mm trocar through umbilicus and used 10mm laparoscope with an engrafted working channel for 5mm instruments; appendectomy was performed intra- or extra-corporally; no abdominal drain was placed. Results: 306 patients were identified, with a median age of 7.9 years. 90.4% of the patients had localized and 9.6% –generalized peritonitis. Additional trocars were needed in 15% of the patients. The mean operative duration was 45.6 minutes. There were no intraoperative complications. The median postoperative hospital stay was 6.7 days. The median time to resuming of oral feeding was 1.8 days. Early postoperative complications consisted of umbilical wound infection -5.4%, persistent intra-abdominal infection/abscess -5% (no patient needed surgical revision). Post-operative cosmesis was excellent as all the patients vỉrtually had no visible surgical scar. Conclusions: STAWoD is feasible in most cases of childhood PA, safe and with excellent cosmesis

Article Details

Keywords

Perforated appendicitis, single trocar laparocopic appendectomy, drain

References

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