Learning Curve of Single-Port Laparoscopic Appendectomy for Noncomplicated Acute Appendicitis: A Preliminary Analysis Compared with Conventional Laparoscopic Appendectomy

2013 ◽  
Vol 23 (5) ◽  
pp. 441-446 ◽  
Author(s):  
Yu-Tso Liao ◽  
Tsu-Hsin Lin ◽  
Po-Chu Lee ◽  
Tzung-Hsin Chou ◽  
Jin-Tung Liang ◽  
...  
2014 ◽  
Vol 24 (1) ◽  
pp. 12-21 ◽  
Author(s):  
Jianguo Qiu ◽  
Haichao Yuan ◽  
Shuting Chen ◽  
Zhiliang He ◽  
Hong Wu

2006 ◽  
Vol 16 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Manousos M. Konstadoulakis ◽  
Ilias P. Gomatos ◽  
Pantelis T. Antonakis ◽  
Andreas Manouras ◽  
Konstantinos Albanopoulos ◽  
...  

2021 ◽  
Author(s):  
Kyeong Eui Kim ◽  
In Soo Cho ◽  
Sung Uk Bae ◽  
Woon Kyung Jeong ◽  
Hyung Jin Kim ◽  
...  

Abstract Background: Acute appendicitis is the most common surgical abdominal emergency. Single-port laparoscopic appendectomy (SPLA) has been suggested potential advantages including less postoperative pain and better cosmesis. The aim of this study was to compare the postoperative pain and cosmetic outcomes between SPLA and multi-port laparoscopic appendectomy (MPLA) for acute appendicitis.Materials and methods: The study included 47 patients who underwent SPLA and 51 patients who underwent MPLA for acute appendicitis between August 2014 and November 2017. The patient scar assessment questionnaire (PSAQ) was used to assess cosmetic outcomes. Results: MPLA involved a longer median operative time than MPLA (60 vs. 47.5 minutes, p=0.02). There were no apparent differences in the time before diet tolerance, length of hospital stay, inflammatory laboratory findings including C-reactive protein and white blood cell count, and postoperative complication rate. SPLA patients had a smaller total incision length (2.0 vs. 2.5 cm, p<0.001) and the total number of analgesics used on postoperative day 0 in the SPLA group was significantly lower than that of the MPLA group (1 vs. 1, p=0.011). The PSAQ scores showed that the SPLA group had a better overall outcome than the MPLA group with respect to total score (48 vs. 55; p = 0.026), appearance (15 vs. 18; p = 0.002) and consciousness (8 vs. 10; p = 0.005), but not in the satisfaction with appearance and symptoms subscales.Conclusion: SPLA is safe and feasible and provides better cosmetic outcomes and less analgesic requirements on the day of surgery compared to MPLA.


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