Two-port laparoscopic appendectomy assisted with needle grasper comparison with conventional laparoscopic appendectomy.
10.4174/astr.2016.91.2.59
- Author:
Turgut DONMEZ
1
;
Adnan HUT
;
Huseyin AVAROGLU
;
Sinan UZMAN
;
Dogan YILDIRIM
;
Sina FERAHMAN
;
Erdinc CEKIC
Author Information
1. Department of General Surgery, Lutfiye Nuri Burat State Hospital, Istanbul, Turkey. surgeont73@hotmail.com
- Publication Type:Original Article
- Keywords:
Laparoscopic surgery;
Appendectomy;
Minimal invasive surgical procedures
- MeSH:
Abdominal Abscess;
Appendectomy*;
Appendix;
Demography;
Humans;
Laparoscopy;
Length of Stay;
Needles*;
Operative Time;
Pain, Postoperative;
Punctures;
Wound Infection
- From:Annals of Surgical Treatment and Research
2016;91(2):59-65
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The 2-port laparoscopic appendectomy technique (TLA) is between the conventional 3-port and single-port laparoscopic appendectomy surgeries. We compared postoperative pain and cosmetic results after TLA with conventional laparoscopic appendectomy (CLA) by a 3-port device. METHODS: Patients undergoing TLA were matched with patients undergoing CLA between February 2015 and November 2015 at the same institution. Thirty-two patients underwent TLA with a needle grasper. The appendix was secured by a percutaneous organ-holding device (needle grasper), then removed through a puncture at McBurney's point. Another 38 patients underwent CLA. Patient demographics, operative details, and postoperative outcomes were collected and evaluated. RESULTS: One patient in the TLA group developed a wound infection and 1 patient in the CLA group developed a postoperative intra-abdominal abscess and 3 wound infections. There was no significant difference between the groups when comparing the length of hospital stay, time until oral intake, and other complications. The pain score in the first 12 hours after surgery was significanly higher in CLA group than the TLA group (P < 0.001). Operative time was significantly shorter in the CLA group compared to the TLA group (P < 0.001). CONCLUSION: TLA using a needle grasper was associated with a significantly lower pain score 12 hours after surgery, better cosmetic results, and lower cost, than the CLA 3-port procedure because of the fewer number of ports.
