{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T13:07:46Z","timestamp":1779196066136,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2016,11,1]],"date-time":"2016-11-01T00:00:00Z","timestamp":1477958400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2016,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Laparoscopic surgery is the current accepted approach in most pediatric surgical centers. In an attempt to further minimize the surgical trauma and improve cosmetic outcome, new techniques with a single incision through the umbilicus have been proposed and we believe they will become the standard choices for pediatric surgery. This report describes our initial experience with transumbilical single-incision laparoscopic surgery (TSILS) in children with conventional instruments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A retrospective review of 82 pediatric patients who underwent TSILS in children with conventional instruments from January 2011 to June 2015 was performed. The operations included 56 appendectomies, 9 cholecystectomies, and 17 spermatic vein ligations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The average age by procedure was 6.2 years for appendectomy (range of 3\u201314 years); 12.4 years for cholecystectomy (range of 10\u201314 years); and 12.8 years for spermatic vein ligation (range of 11\u201314 years). The average operative time was 32 minutes for appendectomy (range of 25\u201356 minutes); 54 minutes for cholecystectomy (range of 35\u201395 minutes); and 23 minutes for spermatic vein ligation (range of 17\u201341 minutes). The average length of staying in hospital was 3 days (range of 2\u20135 days). All of the operations in 82 cases were successful. None required conversion to open or conventional laparoscopic surgery. There was no obvious wound pain. In addition, there were no wound infections on umbilicus and any other intraoperative complications. There was no obvious scar at patients\u2019 umbilicus after postoperative follow-up for 2\u20134 weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>TSILS is a safe and viable technique that may be used successfully in pediatric surgery. Additionally, excellent cosmetic results are obtained as evidenced by imperceptible umbilical scarring.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2016.0138","type":"journal-article","created":{"date-parts":[[2016,9,27]],"date-time":"2016-09-27T15:09:48Z","timestamp":1474988988000},"page":"938-941","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Transumbilical Single-Incision Laparoscopic Surgery in Children with Conventional Instruments: Our Early Experience"],"prefix":"10.1177","volume":"26","author":[{"given":"Xiao-Kun","family":"Lin","sequence":"first","affiliation":[{"name":"Shandong University","place":["China"]},{"name":"Wenzhou Medical University","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Da-Zhou","family":"Wu","sequence":"additional","affiliation":[{"name":"Wenzhou Medical University","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing-Li","family":"Cai","sequence":"additional","affiliation":[{"name":"Wenzhou Medical University","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cong-De","family":"Chen","sequence":"additional","affiliation":[{"name":"Wenzhou Medical University","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ke-Lai","family":"Wang","sequence":"additional","affiliation":[{"name":"Shandong University","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,11,1]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-011-2892-6"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.4103\/0971-9261.125956"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2011.09.052"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-011-2095-1"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.03.100"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2009.0148"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-010-1199-6"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2014.0268"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1208-6"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e31828b8b7b"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2016.0138","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2016.0138","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2016.0138","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T12:16:16Z","timestamp":1779192976000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2016.0138"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,1]]},"references-count":10,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2016,11,1]]}},"alternative-id":["10.1089\/lap.2016.0138"],"URL":"https:\/\/doi.org\/10.1089\/lap.2016.0138","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,11,1]]}}}