A Retrospective Comparative Study Between Transumbilical Single-incision and Traditional Three-port Laparoscopic ;Appendectomy
10.3969/j.issn.1009-6604.2016.09.005
- VernacularTitle:经脐单切口与传统三孔腹腔镜阑尾切除术的回顾性对比研究
- Author:
Xingjun LIU
;
Shuodong WU
;
Yongsheng CHEN
- Publication Type:Journal Article
- Keywords:
Appendectomy;
Laparoscopic surgery;
Transumbilical surgery;
Sngle-incision
- From:
Chinese Journal of Minimally Invasive Surgery
2016;16(9):784-786
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the safety and feasibility of single-incision laparoscopic appendectomy ( SILA ) . Methods A retrospective analysis was made on clinical data of patients diagnosed as having appendicitis by clinical manifestations , ultrasound or computer tomography at our department from June 2009 to December 2014.There were 189 cases of transumbilical SILA ( transumbilical group ) and 123 cases of traditional three-port laparoscopic appendectomy ( three-port group ) .Patients with incomplete records, combination with other surgery , pregnancy appendicitis , acute appendicitis over 72 hours were excluded .Intraoperative and postoperative data of two groups were compared . Results No conversion to open surgery was required in both groups .The operation time, postoperative exhaust time , and postoperative hospital stay had no significant differences between the transumbilical group and the three-port group [(45.5 ±12.7) min vs.(46.3 ±17.8) min, t=-0.461, P=0.650; (1.4 ±0.5) d vs.(1.5 ±0.6) d, t=-1.588, P=0.112;(3.8 ±1.6) d vs.(4.1 ±1.9) d, t=-1.554, P=0.121].The cosmetic scores at 3 months after surgery was higher in the transumbilical group than that in the three-port group [(4.5 ±0.6) points vs.(4.2 ±0.5) points, t=4.585, P=0.000].No significant differences were identified in the incidence of complications and pathological types between the two groups . Conclusion SILA is technically feasible and safe with better cosmetic effects .
