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Minimally Invasive Surgery
Volume 2016, Article ID 6132741, 9 pages
Review Article

TULAA: A Minimally Invasive Appendicectomy Technique for the Paediatric Patient

Paediatric Surgery and Urology, Institute of Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy

Received 29 August 2016; Accepted 20 November 2016

Academic Editor: Stephen Kavic

Copyright © 2016 Giordano Perin and Maria Grazia Scarpa. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


TULAA or Transumbilical Laparoscopic Assisted Appendicectomy is a minimally invasive technique described by Pelosi in 1992 for the removal of the inflamed appendix. Its main advantage is the possibility of exploring the peritoneal cavity and performing a simple and safe extracorporeal appendicectomy. Since its first description, different authors reported their experience with such technique. The aim of this review is to summarise the surgical outcomes currently reported in the literature for this minimally invasive surgical approach and compare it with standard open and laparoscopic appendicectomy.