title: Routine utilization of single-incision pediatric endosurgery (SIPES): a 5-year institutional experience.
abstract: BACKGROUND
  Single-incision pediatric endosurgery (SIPES) allows operation through one access site, eliminating the multiple sites traditionally used. There are few large series evaluating the versatility of SIPES. The purpose of this study is to review a 5-year single-institution experience with routine SIPES use.
  
  
  METHODS
  This is an Institutional Review Board-approved retrospective analysis of prospectively collected data. All SIPES cases from March 2009 to December 2013 were included. Our database contains demographics, procedure type, operative duration, estimated blood loss, instance of added ports or conversion to open, complications, and follow-up duration.
  
  
  RESULTS
  Of 1322 SIPES operations performed, most (82.1%) were appendectomies and cholecystectomies. Of 871 (66%) patients seen in follow-up, with a median duration of 26 days, 53 (6.1%) experienced postoperative complications. Forty-two cases (4.8%) were surgical-site infections, of which 4 required drainage. Less frequent complications that required operative intervention include recurrent inguinal hernia (n=4), umbilical hernia (n=3), intraabdominal abscess (n=1), bleeding (n=1), abdominal compartment syndrome (n=1), bowel obstruction (n=1), stitch granuloma (n=1), and persistent postoperative pain (n=1).
  
  
  CONCLUSIONS
  Operative times and complication rates are comparable to those in prior reported multiport laparoscopic series, allowing safe integration of SIPES into the routine of a surgical practice for most common procedures.
authors.affiliation: 1 Children's of Alabama , Birmingham, Alabama.
authors.forename: Aaron D
authors.initials: AD
authors.lastname: Seims
authors.forename: Tate R
authors.initials: TR
authors.lastname: Nice
authors.forename: Vincent E
authors.initials: VE
authors.lastname: Mortellaro
authors.forename: Martin
authors.initials: M
authors.lastname: Lacher
authors.forename: Muhammad E
authors.initials: ME
authors.lastname: Ba'Ath
authors.forename: Scott A
authors.initials: SA
authors.lastname: Anderson
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Beierle
authors.forename: Colin A
authors.initials: CA
authors.lastname: Martin
authors.forename: David A
authors.initials: DA
authors.lastname: Rogers
authors.forename: Carroll M
authors.initials: CM
authors.lastname: Harmon
authors.forename: Mike K
authors.initials: MK
authors.lastname: Chen
authors.forename: Robert T
authors.initials: RT
authors.lastname: Russell
mesh_terms: D001062:Appendectomy / Q000379:methods; D002648:Child; D017081:Cholecystectomy, Laparoscopic; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D061646:Operative Time; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies