FACTORS AFFECTING TRANSUMBILICAL LAPAROSCOPICASISTED APPENDECTOMY IN CHILDREN
Main Article Content
Abstract
Objectives:To study a number of factors affecting transumbilical laparoscopic-assisted appendectomy
(TULAA) in children.
Method: An interventional descriptive prospective study with all pediatric patients diagnosed with
acute appendicitis who were indicated for TULAA at Thai Binh Pediatric Hospital, Vietnam from
January 2018 to December 2019.
Result: 300 patients with 180 males and 120 females with average age 8.8±2.6 years old (3-15).
The success rate of TULAA was 65.3% (196 patients), 104 patients have to switch to laparoscopic
surgery with 03 trocarts (accounting for 34.7%). Intraoperative evaluation of appendix showed that
82.7% of patients had normal appendix position and the abnormal position of appendix, free fluid
in the abdomen increased the rate of using additional trocar in TULAA with p< 0.001 OR(95%CI)
0.001(0-0.005).
Conclusion: TULAA is a safe surgical procedure for children with short surgery time, reduced pain
time and earlier time to start passing gas and oral intake after surgery.
Article Details
Keywords
Laparoscopic appendectomy, children, transumbilical support with single port.
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