Single-incision versus conventional laparoscopic appendicectomy in children: a systematic review and meta-analysis

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• 作者：Lingling Zhao (1)
  Zhenqi Liao (2)
  Shaoguang Feng (3)
  Peng Wu (3)
  Guorong Chen (1)
  
  1. Department of Pathology ; The First Affiliated Hospital of Wenzhou Medical University ; Wenzhou ; China
  2. Department of Traditional Chinese Medicine ; The Second Affiliated Hospital of Suzhou University ; Suzhou ; 215000 ; Jiangsu ; China
  3. Department of Pediatric Surgery ; The Second Affiliated Hospital of Wenzhou Medical University ; Wenzhou ; China
  
• 关键词：Laparoscopic appendectomy ; Single ; incision ; Meta ; analysis ; Children
• 刊名：Pediatric Surgery International
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：31
• 期：4
• 页码：347-353
• 全文大小：1,535 KB
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  2. Chow, A, Purkayastha, S, Nehme, J (2010) Single incision laparoscopic surgery for appendicectomy: a retrospective comparative analysis. Surg Endosc 24: pp. 2567-2574 CrossRef
  3. Cho, MS, Min, BS, Hong, YK (2011) Single-site versus conventional laparoscopic appendectomy: comparison of short-term operative outcomes. Surg Endosc 25: pp. 36-4010 CrossRef
  4. Yu, J, Wang, YN, Hu, YF (2011) Single-incision laparoscopic appendectomy performed above the pubic symphysis鈥攁 new scarless approach. Minim Invasive Ther Allied Technol 20: pp. 18-21 CrossRef
  5. Raakow, R, Jacob, DA (2011) Initial experience in laparoscopic single-port appendectomy: a pilot study. Dig Surg 28: pp. 74-79 CrossRef
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  8. Perez, EA, Piper, H, Burkhalter, LS (2013) Single-incision laparoscopic surgery in children: a randomized control trial of acute appendicitis. Surg Endosc 27: pp. 1367-1371 CrossRef
  9. St Peter, SD, Adibe, OO, Juang, D (2011) Single incision versus standard 3-port laparoscopic appendectomy: a prospective randomized trial. Ann Surg 254: pp. 586-590 CrossRef
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  12. Chandler, Nicole M, Ghazarian, Sharon R, King, Tracy M (2014) Cosmetic outcomes following appendectomy in children: a comparison of surgical techniques. J Laparoendosc Adv Surg Tech 24: pp. 584-588 CrossRef
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  16. Chandler, NM, Danielson, PD (2010) Single-incision laparoscopic appendectomy vs multiport laparoscopic appendectomy in children: a retrospective comparison. J Pediatr Surg 45: pp. 2186-2190 CrossRef
  17. Muensterer, OJ, Puga Nougues, C, Adibe, OO (2010) Appendectomy using single-incision pediatric endosurgery for acute and perforated appendicitis. Surg Endosc 24: pp. 3201-3204 CrossRef
  18. Kang, KC, Lee, SY, Kang, DB (2010) Application of single incision laparoscopic surgery for appendectomies in patients with complicated appendicitis. J Korean Soc Coloproctol 26: pp. 388-394 CrossRef
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Pediatrics
  Surgery
  Pediatric Surgery
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1437-9813

文摘

Purpose Single-incision laparoscopic appendectomy (SILA) has been considered as an alternative to conventional laparoscopic appendectomy (CLA). The aim of this systematic review and meta-analysis was to compare clinical outcomes between single-incision laparoscopic appendicectomy and conventional laparoscopic appendicectomy in children. Methods An electronic search of EMBASE, PubMed, MEDLINE was performed. Operative time, length of hospital stay, postoperative complications including wound infection, intra-abdominal infection, ileus in SILA and CLA were pooled and compared by meta-analysis. Results Twelve studies (4 randomized controlled trials, 1 prospective study and 7 retrospective studies) that included 2,109 pediatric patients were studied. Of these patients, 933 and 1,176 patients had undergone SILA and CLA, respectively. There was significant shorter length of hospital stay for SILA compared with CLA in children; however, pooling the results for SILA and CLA revealed no significant difference in operative time and postoperative complications. Conclusion Compared with CLA, SILA has the advantage of shorter hospital stay. However, SILA failed to show any obvious advantages over CLA in operative time and postoperative complications including wound infection, intra-abdominal infection, and ileus.