Literature DB >> 23091793

Transumbilical single port laparoscopic appendectomy using basic equipment: a comparison with the three ports method.

Jun Suh Lee1, Young Il Choi, Sung Ho Lim, Tae Ho Hong.   

Abstract

PURPOSE: Single port laparoscopic surgery is a rapidly evolving laparoscopic surgical approach. We report a comparison of transumbilical single port laparoscopic appendectomy (TUSPLA) and conventional laparoscopic appendectomy (CLA) in a Korean military hospital.
METHODS: This single-center retrospective study of 63 patients who received laparoscopic appendectomy was conducted between May 2011 and October 2011. Nineteen patients received TUSPLA and 44 patients received CLA. Clinical outcomes such as operation time, hospital stay, postoperative pain, diet, and postoperative complication were reviewed.
RESULTS: There were no statistically significant differences between TUSPLA and CLA patients, respectively, in operation time (58.9 minutes vs. 52.3 minutes, P = 0.262), duration of hospitalization (10.2 days vs. 10.6 days, P = 0.782), mean visual analogue scale score (2.6 vs. 2.5, P = 0.894), and return to diet (1.6 days vs. 1.7 days, P = 0.776). There were two cases (10.5%) of short-term complications in the TUSPLA group and four cases (9.1%) of short-term complications in the CLA group. All patients were fully recovered at discharge.
CONCLUSION: TUSPLA is a feasible alternative for CLA. When a glove port is used, no special instruments are needed. Thus, it can be performed in a hospital equipped with basic laparoscopic surgical instruments.

Entities:  

Keywords:  Appendectomy; Laparoscopy; Scarless; Single-port; Transumbilical

Year:  2012        PMID: 23091793      PMCID: PMC3467387          DOI: 10.4174/jkss.2012.83.4.212

Source DB:  PubMed          Journal:  J Korean Surg Soc        ISSN: 1226-0053


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6.  Transumbilical scarless surgery with thoracic trocar: easy and low-cost.

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7.  Outcomes of a single-port laparoscopic appendectomy using a glove port with a percutaneous organ-holding device and commercially-available multichannel single-port device.

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8.  Single-Incision, Two-Port Laparoscopic Appendectomy as an Alternative to Transumbilical Single-Port Laparoscopic Appendectomy.

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