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Single-incision Laparoscopy-assisted Assisted Appendectomy
            potentially resulting in fewer postoperative complications of   of 32 cases. Indian J Surg 2015;77(Suppl 3):S764–S768. DOI: 10.1007/
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                                                            16
            abdominal abscess, and bowel injury due to difficult dissection.       7.  Donmez T, Hut A, Avaroglu H, et al. Two-port laparoscopic
            It is more cost-effective as it requires less numbers of trocars   appendectomy assisted with needle grasper comparison with
            and surgical instruments compared to conventional three-port   comparison with conventional laparoscopic appendectomy. Ann
                                                                    Surg Treat Res 2016;91(2):59–65. DOI: 10.4174/astr.2016.91.2.59.
            laparoscopy. 13,17,18  In children, the distance between appendix     8.  Gupta RK, Gupta A, Kothari P, et al. Transumbilical laparoscopic-
            and umbilicus is shorter and the abdominal wall is more flexible   assisted appendectomy: a safe and useful technique for interval
            making it easier to exteriorize the appendix through the umbilicus   appendectomy in paediatric population. J Minim Invasive Surg Sci
            than in adults. 19                                      2014;3(3):et4365.
               The major disadvantage of SILAA is in terms of comfort and     9.  Semm K. Endoscopic appendectomy. Endoscopy 1983;15(2):59–64.
                     20
            ergonomics.  The ability to triangulate the instruments around   DOI: 10.1055/s-2007-1021466.
            the target is lost because all instruments and cameras are inserted     10.  Coletta LAD, Gil BZ, Zanatto RM. Minilapaparoscopic
                                20
            through the same incision.  However, with increasing exposure   appendectomy. Arq Bras Cir Dig 2016;29(1):53–56. DOI: 10.1590/0102-
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            and experience with this technique, the operating time can be     11.  Ostlie DJ. Single-site umbilical laparoscopic appendectomy.
            reduced significantly. 20                               Semin Pediatr Surg 2011;20(4):196–200. DOI: 10.1053/
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            conclusIon                                           12.  Stylianos S, Nichols L, Ventura N, et al. The “all-in-one” appendectomy:
                                                                    quick, scarless, and less costly. J Pediatr Surg 2011;46(12):2336–2341.
            Reduced-port and single-incision laparoscopic techniques have   DOI: 10.1016/j.jpedsurg.2011.09.029.
            become popular in recent years for appendectomy. Single-incision     13.  Visnjic S. Transumbilicallaparoscopically assisted appendectomy in
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            operative time, early postoperative recovery, shorter duration of     14.  Valla J, Ordorica-Flores RM, Steyaert H, et al. Umbilical one-puncture
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