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Related Experiment Videos

One-trocar appendectomy.

G Rispoli1, M F Armellino, C Esposito

  • 1Division of General Surgery, "Cardinale Ascalesi" Hospital, via Egiziaca a Forcella 31, Naples, Italy.

Surgical Endoscopy
|May 9, 2002
PubMed
Summary
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This study shows a single-trocar laparoscopic appendectomy is a safe and effective treatment for acute appendicitis, combining benefits of open and laparoscopic surgery. However, it

Area of Science:

  • Minimally Invasive Surgery
  • Gastrointestinal Surgery
  • Surgical Techniques

Background:

  • Laparoscopic appendectomy offers a feasible and safe alternative to open appendectomy.
  • Various laparoscopic approaches utilizing one or more trocars have been described.
  • This study investigates a laparoscopy-assisted technique employing a single transumbilical trocar for acute appendicitis.

Purpose of the Study:

  • To evaluate the efficacy and safety of a single-trocar laparoscopy-assisted appendectomy for acute appendicitis.
  • To assess the feasibility of completing the procedure using only one trocar.
  • To compare outcomes with traditional open and multi-trocar laparoscopic appendectomies.

Main Methods:

  • A series of 65 laparoscopic appendectomies were performed between February 1996 and February 1999.

Related Experiment Videos

  • A 10-mm operative telescope and a grasper were introduced through a single umbilical trocar.
  • The appendix was exteriorized through the trocar for external appendectomy; the procedure was completed with one trocar in 84.6% of cases.

    • Main Results:

    • The average operating time was 25 minutes, with a median hospital discharge time of 2 days.
    • Postoperative complications occurred in 11% of patients, including serous umbilical secretion and umbilical hematomas.
    • The single-trocar technique was successfully completed in 55 out of 65 patients.

    Conclusions:

    • The single-transumbilical-trocar laparoscopy-assisted appendectomy is a viable alternative for treating acute appendicitis.
    • This technique merges advantages of both open and laparoscopic approaches.
    • The procedure is not always achievable with a single trocar, as evidenced by 10 cases requiring modification.