Connie G Chiu1, Nam H Nguyen, Scott W Bloom. 1. Department of Surgery, The Richmond Hospital, University of British Columbia, 910 West 10th Avenue, Room 3100, Vancouver, BC V5Z 4E3, Canada. chiuc@interchange.ubc.ca
Abstract
BACKGROUND: Laparoscopic appendectomy has gained wide acceptance. This study aimed to evaluate the feasibility, safety, and cosmetic results of a novel technique: single incision laparoscopic (SIL) appendectomy. METHODS: The study enrolled consecutive patients undergoing appendectomy for acute appendicitis. Appendectomy was performed using three trocars and conventional laparoscopic instruments through a single small umbilical incision (length, ~3 cm). The patients received standard pre- and postoperative care and presented for a follow-up visit after a mean of 27 days. RESULTS: The study cohort consisted of 26 patients (10 women and 16 men) with an average age of 44 years (range, 13-83 years). Of 26 appendectomies, 22 (85%) were achieved through a single surgical site. The mean SIL appendectomy operative time was 58 min (range, 33-107 min). No operative complications occurred. The average postoperative hospital stay was 1.2 days for nonperforated appendicitis and 2.7 days for perforated appendicitis. At the follow-up visit, no patient showed any evidence of incisional hernia. The operative incisions were minimally visible, and all the individuals reported a highly favorable cosmetic outcome. CONCLUSIONS: The results of the study demonstrated that laparoscopic appendectomy can be achieved through a single umbilical incision using conventional instruments and that this approach is successful, safe, and aesthetic.
BACKGROUND: Laparoscopic appendectomy has gained wide acceptance. This study aimed to evaluate the feasibility, safety, and cosmetic results of a novel technique: single incision laparoscopic (SIL) appendectomy. METHODS: The study enrolled consecutive patients undergoing appendectomy for acute appendicitis. Appendectomy was performed using three trocars and conventional laparoscopic instruments through a single small umbilical incision (length, ~3 cm). The patients received standard pre- and postoperative care and presented for a follow-up visit after a mean of 27 days. RESULTS: The study cohort consisted of 26 patients (10 women and 16 men) with an average age of 44 years (range, 13-83 years). Of 26 appendectomies, 22 (85%) were achieved through a single surgical site. The mean SIL appendectomy operative time was 58 min (range, 33-107 min). No operative complications occurred. The average postoperative hospital stay was 1.2 days for nonperforated appendicitis and 2.7 days for perforated appendicitis. At the follow-up visit, no patient showed any evidence of incisional hernia. The operative incisions were minimally visible, and all the individuals reported a highly favorable cosmetic outcome. CONCLUSIONS: The results of the study demonstrated that laparoscopic appendectomy can be achieved through a single umbilical incision using conventional instruments and that this approach is successful, safe, and aesthetic.
Authors: Oscar Vidal; Mauro Valentini; Cesar Ginestà; Josep Martí; Juan J Espert; Guerson Benarroch; Juan C García-Valdecasas Journal: Surg Endosc Date: 2009-08-19 Impact factor: 4.584
Authors: Tae Ho Hong; Hyung Lan Kim; Yoon Suk Lee; Jin Jo Kim; Keun Ho Lee; Young Kyoung You; Se Jeong Oh; Seung Man Park Journal: J Laparoendosc Adv Surg Tech A Date: 2009-02 Impact factor: 1.878
Authors: Ki Bum Park; Jun Seok Park; Gyu-Seog Choi; Hye Jin Kim; Soo Yeun Park; Jong Pil Ryuk; Won Ho Choi; You Seok Jang Journal: J Korean Soc Coloproctol Date: 2011-12-31