What Are the Risk Factors for Complication in Transumbilical Single-Port Appendectomy?.
10.7602/jmis.2012.15.4.138
- Author:
Hee Sung LEE
1
;
Yong Hae BAIK
;
In Woong HAN
;
Won Yong CHOI
;
Beom Seok KWAK
;
Young Jin PARK
;
Min Gu OH
;
Hong Yong KIM
Author Information
1. Department of Surgery, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea. Whitedrag@naver.com
- Publication Type:Original Article
- Keywords:
Single-port;
Laparoscopic appendectomy;
Complications
- MeSH:
Appendectomy;
Appendix;
Cosmetics;
Humans;
Incidence;
Informed Consent;
Laparoscopy;
Overweight;
Postoperative Complications;
Risk Factors
- From:Journal of Minimally Invasive Surgery
2012;15(4):138-144
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Along with the development of minimally invasive surgery, laparoscopic surgery has recently been adopted worldwide. In cases of laparoscopic appendectomy, single port appendectomy is increasingly being adopted due to its cosmetic advantages and reduced pain. This study was conducted to evaluate the risk factors associated with post-operative complications in single port appendectomy. METHODS: Forty-nine consecutive patients who underwent transumbilical single port appendectomy (TUSPLA) were enrolled in this study. We reviewed the initial WBC count, hsCRP, position of the appendix, and intra operative findings and then analyzed the data by univariate and multivariate analysis. RESULTS: Complications were observed in five of the 49 patients (10.2%). Specifically, wound complications were observed in three patients (6.1%), and periappendiceal fluid collection occurred in two patients (4.1%). Univariate analysis revealed a retrocecal type appendix (p=0.046) and overweight (BMI> or =23, p=0.034) as risk factors significantly correlated with the occurrence of complications. Conversely, retrocecal type appendix (p=0.121) and overweight (BMI> or =23, p=0.329) were not significantly correlated with complications upon multivariate analysis. CONCLUSION: For patients with a high risk of postoperative complications, including those with retrocecal appendix undergoing TUSPLA and obese patients, sufficient informed consent is necessary, and intensive monitoring for the incidence of complications must be considered postoperatively. However, further studies enrolling larger groups of patients should be conducted to confirm these findings.
