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. 2012 Oct;83(4):212-7.
doi: 10.4174/jkss.2012.83.4.212. Epub 2012 Sep 25.

Transumbilical single port laparoscopic appendectomy using basic equipment: a comparison with the three ports method

Jun Suh Lee  1 , Young Il Choi, Sung Ho Lim, Tae Ho Hong
Affiliations

Transumbilical single port laparoscopic appendectomy using basic equipment: a comparison with the three ports method

Jun Suh Lee et al. J Korean Surg Soc. 2012 Oct.

Abstract

Purpose: Single port laparoscopic surgery is a rapidly evolving laparoscopic surgical approach. We report a comparison of transumbilical single port laparoscopic appendectomy (TUSPLA) and conventional laparoscopic appendectomy (CLA) in a Korean military hospital.

Methods: This single-center retrospective study of 63 patients who received laparoscopic appendectomy was conducted between May 2011 and October 2011. Nineteen patients received TUSPLA and 44 patients received CLA. Clinical outcomes such as operation time, hospital stay, postoperative pain, diet, and postoperative complication were reviewed.

Results: There were no statistically significant differences between TUSPLA and CLA patients, respectively, in operation time (58.9 minutes vs. 52.3 minutes, P = 0.262), duration of hospitalization (10.2 days vs. 10.6 days, P = 0.782), mean visual analogue scale score (2.6 vs. 2.5, P = 0.894), and return to diet (1.6 days vs. 1.7 days, P = 0.776). There were two cases (10.5%) of short-term complications in the TUSPLA group and four cases (9.1%) of short-term complications in the CLA group. All patients were fully recovered at discharge.

Conclusion: TUSPLA is a feasible alternative for CLA. When a glove port is used, no special instruments are needed. Thus, it can be performed in a hospital equipped with basic laparoscopic surgical instruments.

Keywords: Appendectomy; Laparoscopy; Scarless; Single-port; Transumbilical.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
To make the glove port, three 5-mm trocars were attached to the digits of a small surgical glove. After appendectomy, the resected appendix was put inside one of the digits (red arrow).
Fig. 2
Fig. 2
Comparison of the cosmetic effects of transumbilical single port laparoscopic appendectomy (TUSPLA) and three ports laparoscopic appendectomy (TLA) immediately after surgery. (A) After TUSPLA, the scar is concealed in the umbilicus. (B) After TLA, although a transumbilical incision was used to reduce the umbilical scar, the other two 5-mm incisions were clearly visible.
Fig. 3
Fig. 3
Decreasing operation time according to surgical experience in transumbilical single port laparoscopic appendectomy group. Red line indicates the mean operation time.
See this image and copyright information in PMC

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