{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T17:32:09Z","timestamp":1786642329966,"version":"build-2736575974"},"reference-count":9,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Guangdong Provincial Medical Science and Technology Research Fund project","award":["Nos.B2023296"],"award-info":[{"award-number":["Nos.B2023296"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"abstract":"<jats:sec>\n                    <jats:title>Background Need<\/jats:title>\n                    <jats:p>Acute appendicitis is the most common pediatric surgical emergency. Conventional three-port laparoscopy is the mainstream surgical method currently. This study introduces a modified technique combining transumbilical two-port laparoscopy with miniature percutaneous needle-type forceps for pediatric appendectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology and Device Description<\/jats:title>\n                    <jats:p>The modified procedure was performed through a transumbilical incision, employing laparoscopic needle-type forceps for pediatric appendectomy. The surgical technique utilized the following components: a 5-mm disposable laparoscopic trocar, needle-type grasping forceps, and 0- Mersilk Silk braided nonabsorbable suture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Preliminary Results<\/jats:title>\n                    <jats:p>A total of 30 pediatric patients were enrolled in this study, and all operations were completed by a single experienced surgeon. Relevant clinical indicators, intraoperative conditions and postoperative follow-up data were collected and analyzed. No intraoperative adverse events or postoperative complications were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Current Status<\/jats:title>\n                    <jats:p>Preliminary clinical results demonstrate that this modified transumbilical two-port laparoscopic technique is technically feasible and clinically safe for children with uncomplicated acute non-perforated appendicitis. It achieves excellent cosmetic outcomes, reduces surgical trauma, and possesses prominent clinical advantages compared with traditional laparoscopic approaches.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15533506261476452","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T04:04:36Z","timestamp":1786421076000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Transumbilical Two-Port Laparoscopy With Percutaneous Needle Instrument: A Modified Technique for Pediatric Uncomplicated Appendicitis"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3499-5504","authenticated-orcid":false,"given":"Kun","family":"Wang","sequence":"first","affiliation":[{"name":"Pediatric Surgery, Dongguan Maternal and Child Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gang Quan","family":"Wu","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, Dongguan Maternal and Child Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao Wei","family":"Li","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, Dongguan Maternal and Child Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying Chou","family":"Lu","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, Dongguan Maternal and Child Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"De Zhi","family":"Su","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, Dongguan Maternal and Child Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Cai","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, Dongguan Maternal and Child Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.yasu.2021.05.002"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.33314\/jnhrc.v20i4.3681"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2023.12.179"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-024-01775-w"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v17.i7.105925"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.4103\/0972-9941.78360"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjz043"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2016.0243"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2018.0195"}],"container-title":["Surgical Innovation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15533506261476452","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15533506261476452","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15533506261476452","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T16:47:47Z","timestamp":1786639667000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15533506261476452"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,10]]},"references-count":9,"alternative-id":["10.1177\/15533506261476452"],"URL":"https:\/\/doi.org\/10.1177\/15533506261476452","relation":{},"ISSN":["1553-3506","1553-3514"],"issn-type":[{"value":"1553-3506","type":"print"},{"value":"1553-3514","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,10]]},"article-number":"15533506261476452"}}