Letter to the Editor “Transumbilical laparoscopic-assisted appendectomy without pneumoperitoneum in children: Feasibility and outcomes from a single center”

In brief

This letter discusses a transumbilical laparoscopic appendectomy technique that avoids pneumoperitoneum in pediatric patients. The authors acknowledge promising feasibility and safety data from Yamaoka et al., while raising additional points for consideration regarding this alternative surgical approach.

• Transumbilical laparoscopic appendectomy without pneumoperitoneum shows high completion rates in pediatric patients.
• The technique demonstrates an acceptable safety profile comparable to conventional laparoscopic approaches.
• Avoiding pneumoperitoneum may reduce physiologic stress in children undergoing appendectomy.
• Single-center data requires multi-institutional validation before widespread adoption of this technique.

Written by the GCMD Library team from the article.