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Single-incision laparoscopic appendectomy: an early experience
Elyssa J Feinberg1, David J O'Connor, Michelle L Feinberg
1Department of Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Abstract:
Acute appendicitis is one of the most common causes of abdominal pain that a general surgeon will encounter. We describe our modification to the laparoscopic appendectomy: a single-incision laparoscopic (SILS) appendectomy completed entirely intracorporeally. From September 2008 to September 2009, a retrospective review of the electronic medical record was performed in all patients who underwent a SILS appendectomy to specifically analyze the demographic characteristics, time in the operating room to perform SILS appendectomy, length of postoperative hospital stay, and postoperative complications. Twenty-five patients underwent SILS appendectomy in the study period. There were 18 males and seven females with a mean age of 41 ± 15 years and mean body mass index of 26.5 ± 5 kg/m². Single-incision laparoscopic appendectomy was performed successfully in all of our cases (100%). Mean operative time was 56 ± 16 minutes. Blood loss in all cases was minimal and there were no intraoperative complications. We successfully completed 25 appendectomies using the SILS method. Operative times were similar compared with the traditional laparoscopic technique. We believe that the SILS appendectomy is a safe and effective method that leaves a virtually invisible scar.
Insights
Single-incision laparoscopic surgery (SILS) appendectomy is a safe and effective technique for acute appendicitis. This method offers similar operative times to traditional laparoscopy with minimal complications and a nearly invisible scar.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
Background:
- Acute appendicitis is a frequent cause of abdominal pain requiring surgical intervention.
- Laparoscopic appendectomy is a standard surgical procedure.
Purpose of the Study:
- To describe a modified single-incision laparoscopic surgery (SILS) appendectomy technique.
- To evaluate the safety, efficacy, and outcomes of SILS appendectomy.
Main Methods:
- Retrospective review of electronic medical records for patients undergoing SILS appendectomy.
- Analysis of demographic characteristics, operative time, hospital stay, and complications.
- Data collected from September 2008 to September 2009.
Main Results:
- Twenty-five patients underwent successful SILS appendectomy (100% success rate).
- Mean operative time was 56 ± 16 minutes, comparable to traditional laparoscopy.
- No intraoperative complications or significant blood loss were reported.
Conclusions:
- Single-incision laparoscopic surgery appendectomy is a safe and effective procedure.
- The SILS technique results in a virtually invisible scar.
- SILS appendectomy is a viable alternative for treating acute appendicitis.
