Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016;11(2):105-10.
doi: 10.5114/wiitm.2016.60504. Epub 2016 Jun 13.

Two-port laparoscopic appendectomy with the help of a needle grasper: better cosmetic results and fewer trocars than conventional laparoscopic appendectomy

Turgut Donmez  1 , Oguzhan Sunamak  2 , Sina Ferahman  3 , Server Sezgin Uludag  3 , Dogan Yildirim  4 , Adnan Hut  4
Affiliations

Two-port laparoscopic appendectomy with the help of a needle grasper: better cosmetic results and fewer trocars than conventional laparoscopic appendectomy

Turgut Donmez et al. Wideochir Inne Tech Maloinwazyjne. 2016.

Abstract

Introduction: The two-port laparoscopic appendectomy technique (TPLA) lays between the conventional three-port trocar procedure and single-port laparoscopic appendectomy surgery. During TPLA, the appendix is suspended with stitches, resulting in perforation risk and difficulty in exploration.

Aim: We used a needle grasper in TPLA to hang and manipulate the appendix.

Material and methods: Thirty-four patients (10 female, 24 male) who underwent TPLA between February 2015 and November 2015 were analyzed retrospectively for patient demographics, duration of operation, laparotomy or conventional laparoscopy necessity, drain use, complications, and hospital stay periods. The needle grasper was inserted at the right under the abdominal quadrant (McBurney point) without an incision to hang and manipulate the appendix.

Results: The mean age was 25.19 ±8.464 years; the mean body mass index (BMI) was 23.50 ±3.246 kg/m(2). ASA scores were 1 and 2. The operations were completed without any additional trocar in 34 patients. The mean operation time was 57.03 ±3.814 min. There were no intraoperative complications in any patients. Three patients required a drain; all were discharged after drain removal. Thirty-one patients were discharged on the 1(st) postoperative day; three patients with drains were discharged on the 2(nd) day. The mean hospital stay period was 1.18 ±0.535 days.

Conclusions: Using the needle grasper, the appendix was held and suspended and the mesoappendix was cauterized and skeletonized successfully in TPLA. Inserting a needle grasper into the abdominal cavity at the McBurney point to manipulate the appendix helps and does not leave a visible scar.

Keywords: laparoscopic appendectomy; minimally invasive surgery; needle grasper.

PubMed Disclaimer

Figures

Photo 1
Photo 1
A – Needle grasper (percutaneous organ holder device), B – abdominal entry point of the needle grasper
Photo 2
Photo 2
A – Holding of appendix by needle grasper, B – a: Needle grasper device, b: Endoloop, C – immediate image of the abdomen, D – image of the abdomen, 20 days after the operation
See this image and copyright information in PMC

References

    1. Tiwari MM, Reynoso JF, Tsang AW, Oleynikov D. Comparison of outcomes of laparoscopic and open appendectomy in management of uncomplicated and complicated appendicitis. Ann Surg. 2011;254:927–32. - PubMed
    1. Taguchi Y, Komatsu S, Sakamoto E, et al. Laparoscopic versus open surgery for complicated appendicitis in adults: a randomized controlled trial. Surg Endosc. 2016;30:1705–12. - PubMed
    1. Lee J, Baek J, Kim W. Laparoscopic transumbilical single-port appendectomy: initial experience and comparison with three-port appendectomy. Surg Laparosc Endosc Percutan Tech. 2010;20:100–3. - PubMed
    1. Lee YS, Kim JH, Moon EJ, et al. Comparative study on surgical outcomes and operative costs of transumbilical single-port laparoscopic appendectomy versus conventional laparoscopic appendectomy in adult patients. Surg Laparosc Endosc Percutan Tech. 2009;19:493–6. - PubMed
    1. Xu AM, Huang L, Li TJ. Single-incision versus three port laparoscopic appendectomy for acute appendicitis: systematic review and meta-analysis of randomized controlled trials. Surg Endosc. 2015;29:822–43. - PubMed

LinkOut - more resources