{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:44:27Z","timestamp":1782956667117,"version":"3.54.5"},"reference-count":17,"publisher":null,"issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,4]]},"abstract":"\n Background:<\/jats:title>\n Single-incision laparoscopic surgery (SILS) is a technique in laparoscopic surgery, which is based on the idea that all the laparoscopic trocars are inserted through a single umbilical incision. This paper documents a single-centre experience, which performed the single-port surgery in children using an improvised trans-umbilical glove-port with conventional rigid instruments.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n We prospectively studied the outcomes of SILS procedures between January 2013 and June 2014. Materials required making our homemade trans-umbilical port consisted on: A flexible ring, a rigid larger ring, one powder-free surgical glove, a wire-to-skin and standard standards laparoscopic trocars.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n A total of 90 consecutive procedures had been done in our institution: 15 girls and 75 boys (mean age: 7.5 years). We used SILS on 59 appendectomies with an average operative time of 48 minutes. We needed conversion to conventional surgery in three cases (two with perforated appendicitis and one for difficulty to mobilize the appendix). SIL cholecystectomy was performed for four patients with symptomatic cholelithiasis; mean operative time was 60 min. All patients were discharged on postoperative day 2. Eighteen boys with non-palpable testis were explored and treated. Other procedures included: Varicocelectomy (\n n<\/jats:italic>\n = 2), intra-abdominal lymph node biopsies (\n n<\/jats:italic>\n = 2), ovarian cystectomy (\n n<\/jats:italic>\n = 1), ovarian transposition (\n n<\/jats:italic>\n = 1), aspiration of renal hydatid cyst (\n n<\/jats:italic>\n = 1), explorative laparoscopy in research to Meckel's diverticulum (\n n<\/jats:italic>\n = 1) and intestinal intussusceptions (\n n<\/jats:italic>\n = 1). No post-operative complications were seen in all cases.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n SILS in the paediatric population using conventional rigid instruments is feasible, safe and effective. It may be an alternative to the costly commercially available single-port systems especially in a developing country like Tunisia.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/0189-6725.160354","type":"journal-article","created":{"date-parts":[[2015,7,9]],"date-time":"2015-07-09T05:05:05Z","timestamp":1436418305000},"page":"122-125","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Single-port laparoscopic surgery in children: A new alternative in developing countries"],"prefix":"10.67481","volume":"12","author":[{"given":"Ben Dhaou","family":"Mahdi","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Hedi Chaker Hospital, Sfax, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chtourou","family":"Rahma","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hedi Chaker Hospital, Sfax, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jallouli","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hedi Chaker Hospital, Sfax, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mhiri","family":"Riadh","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hedi Chaker Hospital, Sfax, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"reference":[{"key":"R1-20250528","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.jamcollsurg.2010.09.008","article-title":"Laparoscopic surgery performed through a single incision: A systematic review of the current literature","volume":"212","author":"Pfluke","year":"2011","journal-title":"J Am Coll Surg"},{"key":"R2-20250528","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1016\/j.jpedsurg.2011.02.020","article-title":"Single-incision laparoscopic surgery in children: Initial single-center experience","volume":"46","author":"Carissa","year":"2011","journal-title":"J Pediatr Surg"},{"key":"R3-20250528","doi-asserted-by":"crossref","first-page":"2186","DOI":"10.1016\/j.jpedsurg.2010.07.012","article-title":"Single-incision laparoscopic appendectomy vs multiport laparoscopic appendectomy in children: A retrospective comparison","volume":"45","author":"Chandler","year":"2010","journal-title":"J Pediatr Surg"},{"key":"R4-20250528","doi-asserted-by":"crossref","first-page":"110","DOI":"10.4174\/jkss.2012.82.2.110","article-title":"Application of single incision laparoscopic surgery for appendectomy in children","volume":"82","author":"Kang","year":"2012","journal-title":"J Korean Surg Soc"},{"key":"R5-20250528","doi-asserted-by":"crossref","first-page":"35","DOI":"10.4174\/astr.2014.86.1.35","article-title":"Single port laparoscopic appendectomy in children using glove port and conventional rigid instruments","volume":"86","author":"Lee","year":"2014","journal-title":"Ann Surg Treat Res"},{"key":"R6-20250528","doi-asserted-by":"crossref","first-page":"1909","DOI":"10.1016\/j.jpedsurg.2011.03.066","article-title":"Single-incision laparoscopic cholecystectomy in children: A feasible alternative to the standard laparoscopic approach","volume":"46","author":"Emami","year":"2011","journal-title":"J Pediatr Surg"},{"key":"R7-20250528","doi-asserted-by":"crossref","first-page":"1695","DOI":"10.1016\/j.jpedsurg.2011.02.044","article-title":"Single-incision laparoscopic cholecystectomy in children: A retrospective comparison with traditional laparoscopic cholecystectomy","volume":"46","author":"Chandler","year":"2011","journal-title":"J Pediatr Surg"},{"key":"R8-20250528","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.jpedsurg.2012.10.039","article-title":"Single incision versus standard 4-port laparoscopic cholecystectomy: A prospective randomized trial","volume":"48","author":"Ostlie","year":"2013","journal-title":"J Pediatr Surg"},{"key":"R9-20250528","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.jviscsurg.2014.02.002","article-title":"Single incision laparoscopic splenectomy with hilar dissection for massive splenomegaly (with video)","volume":"151","author":"Tranchart","year":"2014","journal-title":"J Visc Surg"},{"key":"R10-20250528","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1177\/000313480807400410","article-title":"Video-assisted transumbilical Meckel's diverticulectomy in children","volume":"74","author":"Clark","year":"2008","journal-title":"Am Surg"},{"key":"R11-20250528","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.jpurol.2013.07.007","article-title":"Minimal incision laparoscopy assisted open pediatric pyeloplasty","volume":"10","author":"Woo","year":"2014","journal-title":"J Pediatr Urol"},{"key":"R12-20250528","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1016\/j.jpurol.2011.01.016","article-title":"Single-port nephrectomy in infants: Initial experience","volume":"7","author":"Cabezal\u00ed Barbancho","year":"2011","journal-title":"J Pediatr Urol"},{"key":"R13-20250528","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1111\/j.1464-410X.2008.07584.x","article-title":"Single-port laparoscopic surgery: Initial experience in children for varicocelectomy","volume":"102","author":"Kaouk","year":"2008","journal-title":"BJU Int"},{"key":"R14-20250528","article-title":"Is Single Incision Paediatric Endoscopic Surgery more painful than standard laparoscopy in children. Personal experience and review of the literature","author":"Zani","year":"2014","journal-title":"Minerva Pediatr"},{"key":"R15-20250528","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1089\/lap.2012.0467","article-title":"Single-incision pediatric endosurgery: A systematic review","volume":"23","author":"Salda\u00f1a","year":"2013","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"R16-20250528","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1007\/s12262-010-0215-0","article-title":"Improvised transumbilical glove port: A cost effective method for single port laparoscopic surgery","volume":"73","author":"Khiangte","year":"2011","journal-title":"Indian J Surg"},{"key":"R17-20250528","doi-asserted-by":"crossref","first-page":"76","DOI":"10.4103\/0972-9941.110967","article-title":"SILACIG: A novel technique of single-incision laparoscopic appendicectomy based on institutional experience of 29 cases","volume":"9","author":"Uday","year":"2013","journal-title":"J Minim Access Surg"}],"container-title":["African Journal of Paediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/01434821-201512020-00004","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:49:44Z","timestamp":1782953384000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01434821-201512020-00004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,4]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.4103\/0189-6725.160354","relation":{},"ISSN":["0189-6725","0974-5998"],"issn-type":[{"value":"0189-6725","type":"print"},{"value":"0974-5998","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,4]]}}}