title: Single center experience in single-incision laparoscopic surgery in children in Turkey.
abstract: OBJECTIVE
  Minimally invasive surgery has evolved into single-incision laparoscopic surgery (SILS) in the recent years. Few reports have addressed the practicality of SILS in children. Our current experience with regard to feasibility and effectiveness of SILS in children is presented.
  
  
  METHODS
  A retrospective review of the operative database for patients operated on using SILS in our department from March 2009 to July 2010 was performed. Data regarding the type of the procedure, age, sex, operative performance, hospital stay, and complications were collected.
  
  
  RESULTS
  Among 43 patients, cholecystectomy was performed in 11; appendectomy, in 10; unroofing for ovarian cysts, in 5; unroofing for splenic cysts, in 4; oophorectomy, in 6 (ovarian torsion, 2; teratoma, 4); ovary-preserving teratoma excision, in 1; splenectomy, in 1; gonadectomy, in 3; and varicocelectomy, in 2. There were no conversions to standard laparoscopic or open techniques. The only postoperative complication was a wound infection that occurred after an appendectomy.
  
  
  CONCLUSIONS
  Although currently more expensive, SILS can be performed in children in almost every pediatric surgical procedure that can be accomplished with conventional laparoscopic techniques. The most significant contribution of SILS procedure is cosmesis. Postoperative pain and length of hospital stay were not improved.
authors.affiliation: Department of Pediatric Surgery, Ege University Faculty of Medicine, 35100, Izmir, Turkey. Electronic address: orkan.ergun@ege.edu.tr.
authors.forename: Orkan
authors.initials: O
authors.lastname: Ergün
authors.affiliation: Department of Pediatric Surgery, Ege University Faculty of Medicine, 35100, Izmir, Turkey.
authors.forename: Sibel
authors.initials: S
authors.lastname: Tiryaki
authors.affiliation: Department of Pediatric Surgery, Ege University Faculty of Medicine, 35100, Izmir, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Çelik
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004066:Digestive System Diseases / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000379:methods* / Q000706:statistics & numerical data*; D008297:Male; D012189:Retrospective Studies; D014421:Turkey