Feasibility of single-incision laparoscopic appendectomy in a small hospital

Byung Hee Kang; Kyung Chul Yoon; Sung Woo Jung; Gyeo Ra Lee; Hyung Soon Lee

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저자정보: Byung Hee Kang (Armed Forces Ildong Hospital) Kyung Chul Yoon (Armed Forces Ildong Hospital) Sung Woo Jung (Armed Forces Ildong Hospital) Gyeo Ra Lee (Armed Forces Ildong Hospital) Hyung Soon Lee (National Health Insurance Corporation Ilsan Hospital)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.91 No.2

발행연도: 2016.7

수록면: 74 - 79 (6page)

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Purpose: This study aimed to compare clinical outcomes for single-incision laparoscopic appendectomy (SILA) and conventional laparoscopic appendectomy (CLA) for the treatment of acute appendicitis and to assess the feasibility of performing SILA in a small hospital with limited surgical instruments and staff experience.
Methods: Retrospective record review identified 133 patients who underwent laparoscopic appendectomy from December 2013 to April 2015. Patients were categorized according to the type of appendectomy performed (SILA or CLA). Patient characteristics and surgical outcomes were compared between the 2 groups. Postoperative complication rates were compared using the Clavien-Dindo classification. Postoperative pain was assessed using a visual analog scale immediately postsurgery; at 12, 24, 36, and 48 hours postoperatively, and at 7 days postoperatively.
Results: Record review identified 38 patients who had undergone SILA and 95 patients who had undergone CLA. No significant differences in clinical characteristics were found between the 2 groups. There were no significant differences in operation time, time to flatus, or length of hospital stay. Overall complication rates were not significantly different between the 2 groups. No complications worse than grade IIIa occurred in the SILA group. Postoperative pain scores were not significantly different between the 2 groups at any time point.
Conclusion: We found comparable surgical outcomes for SILA compared to CLA. Even in a small hospital with limited surgical instruments and staff experience, SILA may be a feasible and safe technique.

#Appendectomy #Laparoscopy #Minimally invasive surgical procedures

참고문헌 (24)

참고문헌 신청

[학술지(정기간행물)] - Guller U. / 2004 / Laparos co pic versus open appendectomy : outcomes comparison based on a large admin is trative database / Ann Surg 39 : 43 ~ 52

[학술지(정기간행물)] - Wei B. / 2011 / Laparoscopic versus open appendectomy for acute appendicitis : a metaanalysis / Surg Endosc 25 : 1199208 ~

[학술지(정기간행물)] - Tiwari MM. / 2011 / Comparison of outcomes of lapar oscopic and open appendectomy in man agement of uncomplicated and complicated appendicitis / Ann Surg 254 : 927 ~ 932

[학술지(정기간행물)] - 이종민 / 2014 / Feasibility of the Short Hospital Stays after Laparoscopic Appendectomy for Uncomplicated Appendicitis / Yonsei Medical Journal 55 (6) : 1606 ~ 1610

[학술지(정기간행물)] - Markar SR. / 2013 / Systematic review and meta-analysis of single-incision versus con ventional multiport appendicectomy / Br J Surg 100 : 1709 ~ 1718

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