Single-incision versus conventional three-incision laparoscopic appendectomy: a single centre experience
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Published on: December 4, 2023
Siwo Ernest Amos1, Wu Shuo-Dong, Ying Fan
1Department of Minimally Invasive Surgery, Shengjing Hospital, China Medical University, Sanhao Street #36, Shenyang, People's Republic of China.
Purpose:
To compare the short-term outcomes of single-incision and conventional three-incision laparoscopic appendectomy (LA) at a single surgical unit.
Methods:
We conducted a retrospective study comparing the operative outcomes of two LA techniques between January 2009 and November 2010.
Results:
LA was performed successfully in 44 patients: through a single incision in 27 patients and through three incisions in 17 patients. The time taken to resume oral intake was slightly less in the single-incision group than in the three-incision group, at 1.1 versus 1.5 days, respectively (P = 0.0419). However, blood loss and hospital stay were not significantly different, at 7.2 versus 6.4 ml (P = 0.6244) and 3.7 versus 3.8 days (P = 0.8565), respectively. The cosmetic result was better in the single-incision group, because of the well-concealed scar.
Conclusion:
Both single-incision and conventional LA are effective and minimally invasive, and should be performed according to the experience of the surgeon. Single-incision LA results in faster recovery, but larger studies are required to confirm this and to determine if these techniques can be used safely for all indications of appendectomy.
