Initial Experience with Single Incision Laparoscopic Appendectomy by Surgical Resident.
10.7602/jmis.2018.21.2.65
- Author:
Jin Hyuk CHOI
1
;
Young Il CHOI
Author Information
1. Department of surgery, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea. tsojc@naver.com
- Publication Type:Original Article
- Keywords:
Laparoscopic appendectomy;
Single incision laparoscopic surgery;
Surgical resident
- MeSH:
Appendectomy*;
Appendicitis;
Humans;
Ileus;
Laparoscopy;
Learning;
Length of Stay;
Methods;
Operative Time;
Retrospective Studies;
Surgeons;
Urinary Bladder;
Wound Infection
- From:Journal of Minimally Invasive Surgery
2018;21(2):65-69
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Laparoscopic appendectomy (LA) is a popular procedure for acute appendicitis. Its minimally invasive nature has made LA a commonly performed surgical technique for surgical residents. However, single incision laparoscopic surgery (SILS) poses a challenge to inexperienced surgical residents. We described our initial experience in teaching SILS for appendectomy in our medical center. METHODS: Twenty nine cases of SILA were performed by single surgical resident and 110 cases of LA were performed by four surgical residents and five board-certified surgeons. Data were reviewed retrospectively. RESULTS: The mean SILA and multi-port laparoscopic appendectomy (MLA) operative time was 44.5±14 min (range 25~85 min) and 74.8±26 min (range 20~125 min), respectively. The shorter time for SILA was significant (p<0.05). Postoperative hospital stay was 3.3±1.6 days (range 2~6 days) following SILA and 4.0±2.9 days (range 2~12 days) following MLA (p<0.05). Three cases of wound infection developed following SILA. Complications in the MLA patients included one cases each of operative bladder injury and postoperative ileus. CONCLUSION: SILA is a considerable training method for laparoscopic surgery for a surgical resident learning SILS.