Introduction Laparoscopic appendectomy (LA) in children is considered a safe and useful procedure compared with the open (O) appendectomy. Several variations of the LA have been described. The trans-umbilical laparoscopic-assisted appendectomy (TULAA) has been considered as a reliable and effective technique. We report our experience in the treatment of the acute appendicitis with TULAA approach.

Materials and Methods We analyzed records of patients underwent appendectomy in our Department from November 2009 to February 2012. Every procedures have been completed using all techniques, according to consultant’s choice. Outcomes analysis included: sex, age, weight, operator (consultant or trainer), conversion to O or LA technique, surgical time, length-of-stay, antibiotic and analgesic post-operative therapy, short and long-term complications, histological finding. Results are presented as values range and their averages.

Results

Conclusions In our study there is a clear evidence that TULAA is an effective and safe procedure.

It can be used for all kind of appendicitis, with a low-rate of conversion. Additionally, thanks to a rapid learning-curve, it can be performed by a trainer, even if not completely skilled in the LA.