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Single-port laparoscopic appendectomy versus conventional laparoscopic appendectomy: a prospective randomized
Won-Suk Lee1, Sang Tae Choi, Jung Nam Lee
1Department of Surgery, Gil Medical Center, Gachon University, School of Medicine, Incheon, Korea.
Annals of Surgery
|December 18, 2012
Summary
Single-port laparoscopic appendectomy (SPLA) offers no significant benefits over conventional laparoscopic appendectomy (CLA) for pain or cosmetic outcomes. However, SPLA is demonstrated to be as safe as CLA for treating acute appendicitis.
Area of Science:
- Minimally invasive surgery
- Surgical outcomes research
- Acute appendicitis management
Background:
- Acute appendicitis is a common surgical emergency.
- Laparoscopic appendectomy is the standard treatment.
- Single-port laparoscopic appendectomy (SPLA) is an alternative approach.
Purpose of the Study:
- To compare surgical outcomes and quality of life between SPLA and conventional laparoscopic appendectomy (CLA).
- To evaluate the safety and efficacy of SPLA versus CLA in patients with acute appendicitis.
Main Methods:
- Prospective randomized single-center study.
- 224 patients with acute appendicitis analyzed (116 CLA, 114 SPLA).
- Outcomes assessed included complication rates, cosmetic satisfaction, health survey, and pain scores.
Main Results:
- No significant difference in overall complication rates (P=0.470).
- Infectious complications (10.2% SPLA vs 12.4% CLA) and wound complications (5.1% SPLA vs 10.6% CLA) were not significantly different.
- Cosmetic satisfaction, quality of life (SF-36), and postoperative pain scores showed no significant differences between groups.
Conclusions:
- SPLA does not offer advantages over CLA regarding pain and cosmesis.
- SPLA is a safe alternative to CLA for acute appendicitis.
- Further research may explore specific patient populations or refine SPLA techniques.
