PURPOSE: To compare the short-term outcomes of single-incision and conventional three-incision laparoscopic appendectomy (LA) at a single surgical unit. METHODS: We conducted a retrospective study comparing the operative outcomes of two LA techniques between January 2009 and November 2010. RESULTS: LA was performed successfully in 44 patients: through a single incision in 27 patients and through three incisions in 17 patients. The time taken to resume oral intake was slightly less in the single-incision group than in the three-incision group, at 1.1 versus 1.5 days, respectively (P = 0.0419). However, blood loss and hospital stay were not significantly different, at 7.2 versus 6.4 ml (P = 0.6244) and 3.7 versus 3.8 days (P = 0.8565), respectively. The cosmetic result was better in the single-incision group, because of the well-concealed scar. CONCLUSION: Both single-incision and conventional LA are effective and minimally invasive, and should be performed according to the experience of the surgeon. Single-incision LA results in faster recovery, but larger studies are required to confirm this and to determine if these techniques can be used safely for all indications of appendectomy.
PURPOSE: To compare the short-term outcomes of single-incision and conventional three-incision laparoscopic appendectomy (LA) at a single surgical unit. METHODS: We conducted a retrospective study comparing the operative outcomes of two LA techniques between January 2009 and November 2010. RESULTS: LA was performed successfully in 44 patients: through a single incision in 27 patients and through three incisions in 17 patients. The time taken to resume oral intake was slightly less in the single-incision group than in the three-incision group, at 1.1 versus 1.5 days, respectively (P = 0.0419). However, blood loss and hospital stay were not significantly different, at 7.2 versus 6.4 ml (P = 0.6244) and 3.7 versus 3.8 days (P = 0.8565), respectively. The cosmetic result was better in the single-incision group, because of the well-concealed scar. CONCLUSION: Both single-incision and conventional LA are effective and minimally invasive, and should be performed according to the experience of the surgeon. Single-incision LA results in faster recovery, but larger studies are required to confirm this and to determine if these techniques can be used safely for all indications of appendectomy.
Authors: K H Long; M P Bannon; S P Zietlow; E R Helgeson; W S Harmsen; C D Smith; D M Ilstrup; Y Baerga-Varela; M G Sarr Journal: Surgery Date: 2001-04 Impact factor: 3.982
Authors: Ulrich Guller; Nitin Jain; Eric D Peterson; Lawrence H Muhlbaier; Steve Eubanks; Ricardo Pietrobon Journal: Surgery Date: 2004-05 Impact factor: 3.982
Authors: F Paul Buckley; Hannah Vassaur; Sharon Monsivais; Nicole E Sharp; Daniel Jupiter; Rob Watson; John Eckford Journal: Surg Endosc Date: 2013-09-04 Impact factor: 4.584
Authors: Franziska Köhler; Lena Reese; Carolin Kastner; Anne Hendricks; Sophie Müller; Johan F Lock; Christoph-Thomas Germer; Armin Wiegering Journal: Front Surg Date: 2022-06-08
Authors: F Paul Buckley; Hannah Vassaur; Sharon Monsivais; Daniel Jupiter; Rob Watson; John Eckford Journal: Surg Endosc Date: 2013-10-04 Impact factor: 4.584