Qin Hong, Liu Hongzhen, Xia Tian, Tang Bingqiang, Zhang Shisong, Wang Lulu
Department of General Surgery, Children's Hospital Affiliated to Shandong University, Jinan, Shandong, China.
Department of Endocrinology, Jinan Central Hospital Affiliated to Shandong First Medical University, Jinan, China.
Front Pediatr. 2025 Jul 18;13:1541702. doi: 10.3389/fped.2025.1541702. eCollection 2025.
Transumbilical single-site double-port laparoscopic appendectomy (TSSDPLA) represents an innovative and minimally invasive approach for managing acute appendicitis. This study aims to compare the clinical outcomes of TSSDPLA vs. three-port laparoscopic appendectomy (TPLA) in a pediatric series.
A retrospective analysis was conducted between July 2023 and July 2024 at the Department of General Surgery, Children's Hospital affiliated to Shandong University. The patients were categorized into two groups: the TSSDPLA group and the TPLA group. Outcomes including patient demographics, leukocyte count upon arrival, duration of the operation, costs associated with the operating room, and any complications encountered.
The results indicated no significant differences between the TSSDPLA and TPLA groups in terms of age, gender, leukocyte counts, liquid diet, length of hospital stay, pathology or complications. However, the mean operating room costs were significantly lower in the TSSDPLA group ( < 0.001). Additionally, the mean operation time for the TSSDPLA group was marginally longer compared to the TPLA group.
TSSDPLA is a reliable technical technique for the management of acute appendicitis. This approach offers several advantages, including improved cosmetic outcomes, reduced surgical trauma, and lower costs.
经脐单部位双孔腹腔镜阑尾切除术（TSSDPLA）是一种用于治疗急性阑尾炎的创新且微创的方法。本研究旨在比较小儿系列中TSSDPLA与三孔腹腔镜阑尾切除术（TPLA）的临床结果。
于2023年7月至2024年7月在山东大学附属儿童医院普通外科进行回顾性分析。将患者分为两组：TSSDPLA组和TPLA组。观察指标包括患者人口统计学资料、入院时白细胞计数、手术时长、手术室相关费用以及任何术中并发症。
结果表明，TSSDPLA组和TPLA组在年龄、性别、白细胞计数、流食情况、住院时间、病理或并发症方面无显著差异。然而，TSSDPLA组的平均手术室费用显著更低（<0.001）。此外，TSSDPLA组的平均手术时间比TPLA组略长。
TSSDPLA是一种治疗急性阑尾炎的可靠技术。该方法具有多种优势，包括改善美容效果、减少手术创伤和降低成本。
