Back
 SS  Vol.4 No.10 , October 2013
Outcomes of Single-Incision Laparoscopic Appendectomy at a Single Center
Abstract: Background and Objectives: Recently, single-incision laparoscopic surgery has been popular for minimally invasive surgery and cosmetic improvement. We studied outcomes of single-incision laparoscopic appendectomy (SILA) in accordance with our strategy for acute appendicitis. Methods: Clinical outcomes were revealed in each of nine emergency SILA (e-SILA) cases and eight interval SILA (i-SILA) cases performed for the treatment of acute appendicitis between September 2010 and August 2012 at our hospital. Results: The male to female ratio was 6:3 for e-SILA and 5:3 for i-SILA cases. Mean ages were 33.1 ± 17.8 years and 41 ± 21.6 years for e-SILA and i-SILA, respectively. The pretreatment white blood cell (WBC) count and C-reactive protein (CRP) levels were 14960 ± 4080/μL and 1.4 ± 2.3 mg/d, respectively, for e-SILA and 12657 ± 4290/μL and 6.7 ± 8.3 mg/d, respectively, for i-SILA. The maximum transverse diameter of appendix was 12.6 ± 3.5 mm for e-SILA and 11.6 ± 3.5 mm for i-SILA. Appendiceal abscesses were encountered in one (11%) e-SILA and three (38%) i-SILA cases. Perforation of the appendix at operation occurred in two (22%) e-SILA cases and no i-SILA cases. Generalized peritonitis occurred in 4 (44%) e-SILA cases but in none of the i-SILA cases. The postoperative hospital stay was 5.3 days for e-SILA, 2.7 days for i-SILA. Conversion to laparotomy was not required in either group. One additional trocar was needed for an e-SILA case, and paralytic ileus occurred as a postoperative complication in one e-SILA case. Conclusion: The outcomes of SILA performed under our strategy were acceptable and useful without major postoperative complications.
Cite this paper: T. Watanabe, H. Wada, M. Sato, Y. Miyaki, J. Tochikubo and N. Shiiya, "Outcomes of Single-Incision Laparoscopic Appendectomy at a Single Center," Surgical Science, Vol. 4 No. 10, 2013, pp. 426-428. doi: 10.4236/ss.2013.410083.
References

[1]   K. Semm, “Endoscopic Appendectomy,” Endoscopy, Vol. 15, No. 2, 1983, pp. 59-64.
http://dx.doi.org/10.1055/s-2007-1021466

[2]   S. Towfigh, F. Chen, R. Mason, N. Katkhouda, L. Chan and T. Berne, “Laparoscopic Appendectomy Significantly Reduces Length of Stay for Perforated Appendicitis,” Surgical Endoscopy and Other Interventional Techniques, Vol. 20, No. 3, 2006, pp. 495-499. http://dx.doi.org/10.1007/s00464-005-0249-8

[3]   M. N. Khan, T. Fayyad, T. D. Cecil and B. J. Moran, “Laparoscopic versus Open Appendectomy: The Risk of Postoperative Infectious Complications,” Journal of the Society of Laparoendscopic Surgeons, Vol. 11, No. 3, 2007, pp. 363-367.

[4]   R. Golub, F. Siddiqui and D. Pohl, “Laparoscopic versus Open Appendectomy: A Metaanalysis,” Journal of the American College of Surgeons, Vol. 186, No. 5, 1998, pp. 545-553.
http://dx.doi.org/10.1016/S1072-7515(98)00080-5

[5]   J. A. Margenthaler, W. E. Longo, K. S. Virgo, et al., “Risk Factors for Adverse Outcomes after the Surgical Treatment of Appendicitis in Adults,” Annals of Surgery, Vol. 238, No. 1, 2003, pp. 59-66.
http://dx.doi.org/10.1097/01.SLA.0000074961.50020.f8

[6]   A. A. Saber, M. H. Elgamal, T. H. El-Ghazaly, A. V. Dewoolkar and A. Akl, “Simple Technique for Single Incision Transumbilical Laparoscopic Appendectomy,” International Journal of Surgery, Vol. 8, No. 2, 2010, pp. 128-130. http://dx.doi.org/10.1016/j.ijsu.2009.12.001

[7]   J. Lee, J. Baek and W. Kim, “Laparoscopic Transumbilical Single-Port Appendectomy: Initial Experience and Comparison with Three-Port Appendectomy,” Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, Vol. 20, No. 2, 2010, pp. 100-103. http://dx.doi.org/10.1097/SLE.0b013e3181d84922

[8]   H. J. Kim, J. I. Lee, Y. S. Lee, et al., ”Single-Port Transumbilical Laparoscopic Appendectomy: 43 Consecutive Cases,” Surgical Endoscopy, Vol. 24, No. 11, 2010, pp. 2765-2769.
http://dx.doi.org/10.1007/s00464-010-1043-9

[9]   J. A. Lee, K. Y. Sung, J. H. Lee and D. S. Lee, “Laparoscopic Appendectomy with a Single Incision in a Single Institute,” Journal of the Korean Society of Coloproctology, Vol. 26, No. 4, 2010, pp. 260-264. http://dx.doi.org/10.3393/jksc.2010.26.4.260

[10]   D. B. Kang, S. H. Lee, S. Y. Lee, et al., “Application of Single Incision Laparoscopic Surgery for Appendectomy in Children,” Journal of the Korean Surgical Society, Vol. 82, No. 2, 2012, pp. 110-115. http://dx.doi.org/10.4174/jkss.2012.82.2.110

 
 
Top