A comparison of transumbilical single-port laparoscopic appendectomy and conventional three-port laparoscopic appendectomy: from the diagnosis to the hospital cost.
10.4174/jkss.2013.85.2.68
- Author:
Seung Min BAIK
1
;
Kyung Sook HONG
;
Yong Il KIM
Author Information
1. Department of Surgery, Ewha Womans University School of Medicine, Seoul, Korea. kimyi@ewha.ac.kr
- Publication Type:Original Article
- Keywords:
Laparoscopic appendectomy;
Single incision
- MeSH:
Anesthesia;
Appendectomy;
Appendicitis;
Handling (Psychology);
Hospital Costs;
Humans;
Laparoscopy;
Medical Records;
Natural Orifice Endoscopic Surgery;
Operative Time;
Retrospective Studies
- From:Journal of the Korean Surgical Society
2013;85(2):68-74
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Recently many cases of appendectomy have been conducted by single-incision laparoscopic technique. The aim of this study is to figure out the benefits of transumbilical single-port laparoscopic appendectomy (TULA) compared with conventional three-port laparoscopic appendectomy (CTLA). METHODS: From 2010 to 2012, 89 patients who were diagnosed as acute appendicitis and then underwent laparoscopic appendectomy a single surgeon were enrolled in this study and with their medical records were reviewed retrospectively. Cases of complicated appendicitis confirmed on imaging tools and patients over 3 points on the American Society of Anesthesia score were excluded. RESULTS: Among the total of 89 patients, there were 51 patients in the TULA group and 38 patients in the CTLA group. The visual analogue scale (VAS) of postoperative day (POD) #1 was higher in the TULA group than in the CTLA group (P = 0.048). The operative time and other variables had no statistical significances (P > 0.05). CONCLUSION: Despite the insufficiency of instruments and the difficulty of handling, TULA was not worse in operative time, VAS after POD #2, and the total operative cost than CTLA. And, if there are no disadvantages of TULA, TULA may be suitable in substituting three-port laparoscopic surgery and could be considered as one field of natural orifice transluminal endoscopic surgery with the improvement and development of the instruments and revised studies.
