Single-Port Transumbilical Laparoscopic Appendectomy: A Preliminary Multicentric Comparative Study in 87 Patients with Acute Appendicitis

Author:

Vilallonga Ramon1ORCID,Barbaros Umut2,Nada Ahmed3,Sümer Aziz2,Demirel Tuğrul2,Fort José Manuel1,González Oscar1ORCID,Armengol Manuel1

Affiliation:

1. General Surgery Department, Universitary Hospital Vall d’Hebron, Barcelona 08035, Spain

2. General Surgery Department, Istanbul University, Istanbul Faculty of Medicine, Istanbul 34104, Turkey

3. General Surgery Department, Cairo University, Cairo 11471, Egypt

Abstract

Introduction. Laparoscopic appendectomy (LA) has been performed in many approaches such as open, laparoscopic and recently Single Port Access (SPAA). In order to elucidate its potential advantages, we compared the two laparoscopic approaches.Methods. 87 patients were included in a multicentric study for suspected appendicitis in order to perform (SPAA) appendectomy or laparoscopic appendectomy (LA). All outcomes, including blood loss, operative time, complications, and length of stay and pain were recorded prospectively.Results. There were 46 patients in the SPAA group and 41 in the LAG with a mean operative time of 40,4 minutes in the SPAA group and 35,0 minutes in the LA group. Only one patient was converted to an open approach. We described only 2 complications. Pain was graded 2,8 in the SPAA group and 2,9 in the LA group, according to the AVS after 24 hours. Patients in the SPAA Group were more satisfied (7,5 versus 6,9) (). Same results were found for the cosmetic result (8,6 versus 7,4) ().Conclusion. Using the single port approach feasible and safe. The true benefit of the technique should be assessed by new randomised controlled trials.

Publisher

Hindawi Limited

Subject

Surgery

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