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Single-incision multi-port laparoscopic appendectomy: How I do it
Parveen Bhatia1, Vinay Sabharwal, Sudhir Kalhan
1Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital and Bhatia Global Hospital & Endosurgery Institute, New Delhi, India.
Introduction:
Single-incision laparoscopic surgery (SILS) appendectomy seeks to further minimise the trauma of parietal access of laparoscopic appendectomy.
Methods:
We present our initial experience of 17 cases of SILS appendectomy which were completed using conventional laparoscopic instruments. We utiliesd a single-incision multi-port laparoscopic appendectomy (SIMPLA) technique.
Results:
The operative time was 63 ± 20 min, blood loss 6.5 ± 5 mL, bowel movement (passing stool) occurred in 2.6 ± 0.6 days. Most patients were discharged on the first operative day on oral diet. The analgesic usage and pain scores were similar to multi-port laparoscopic appendectomy. No complications were noted at follow-up till 4 weeks and the surgical wound healed in all patients with an inconspicuous scar.
Conclusion:
Our initial experience with SILS appendectomy demonstrates its feasibility and supports the promise of minimising further the access of laparoscopic surgery. The clear advantage is its cosmetic benefit.
