Port exteriorization appendectomy in children: An alternative to the conventional laparoscopic technique?
Introduction Laparoscopic appendectomy is usually performed using an intracorporeal approach. The conventional procedure uses three ports. The port exteriorization appendectomy uses two trocars to perform the entire procedure and can be considered an efficient alternative to the conventional approach, especially in case of nonavailability of adequate material. We report our experience using port exteriorization appendectomy with the aim of evaluating this technique and determining its feasibility for all grades of appendicitis.
Patients and methods Between May 2013 and January 2014, 193 appendectomies were performed in our department; in 50 cases (26%), a port exteriorization appendectomy was performed. Technical challenges, complications, and postoperative recovery were determined and analyzed.
Conclusion Port exteriorization appendectomy can beconsidered a safe and economical approach to perform pediatric appendectomy when conditions are favorable. It allows minimizing minimally invasive surgery even further, enabling a low level of invasiveness and resulting in postoperative pain.
Keywords: appendectomy, children, laparoscopy, port exteriorization