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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...

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Related Experiment Video

Updated: Jun 16, 2026

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
09:51

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

Published on: December 4, 2023

Single-incision laparoscopic appendectomy for acute appendicitis: a preliminary experience.

Elie Chouillard1, Arnaud Dache, Adriana Torcivia

  • 1Department of General and Minimally Invasive Surgery, Centre Hospitalier, 10 rue du Champ Gaillard, 78300 Poissy, France. elie.chouillard@chi-poissy-st-germain.fr

Surgical Endoscopy
|January 29, 2010
PubMed
Summary

Single-incision laparoscopic appendectomy (SILA) is a safe and feasible approach for select acute appendicitis cases. This hybrid technique offers advantages over traditional methods without requiring advanced endoscopic skills.

Related Experiment Videos

Last Updated: Jun 16, 2026

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
09:51

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

Published on: December 4, 2023

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Innovation
  • Gastrointestinal Surgery

Background:

  • Natural orifice translumenal endoscopic surgery (NOTES) represents a significant advancement in surgical practice.
  • Current technological limitations hinder the full realization of NOTES, prompting the development of hybrid approaches.
  • Single-port procedures, such as single-incision laparoscopic appendectomy (SILA), are emerging as viable alternatives.

Purpose of the Study:

  • To describe and evaluate the technique of single-incision laparoscopic appendectomy (SILA) for patients with acute appendicitis.
  • To assess the safety and feasibility of SILA in a selected patient cohort.

Main Methods:

  • SILA was performed on patients diagnosed with noncomplicated acute appendicitis.
  • Exclusion criteria included abscess, perforation, peritonitis, prior surgery, and obesity.
  • The procedure utilized a single 15-mm umbilical incision and two 5-mm ports.

Main Results:

  • The study included 55 patients (36 women, 19 men) with a mean age of 28 years.
  • SILA was successfully completed in 74.5% of cases, with a mean operative time of 39 minutes.
  • No mortality was observed; the complication rate was 5.4%, and the median hospital stay was 39 hours.

Conclusions:

  • Single-incision laparoscopic appendectomy (SILA) is a safe and feasible surgical option for selected patients with uncomplicated acute appendicitis.
  • SILA offers advantages in terms of feasibility and acceptable operative time compared to other transumbilical appendectomy techniques.
  • Further technical advancements and surgical experience are expected to expand the application of SILA for a broader range of appendicitis patients.