Two-port laparoscopic appendectomy assisted with needle grasper comparison with conventional laparoscopic...

Area of Science:

• Minimally Invasive Surgery
• Surgical Techniques
• Gastrointestinal Surgery

Background:

• Laparoscopic appendectomy is a standard surgical procedure.
• Conventional laparoscopic appendectomy (CLA) typically uses three ports.
• Single-port and two-port techniques aim to reduce invasiveness and improve cosmesis.

Purpose of the Study:

• To compare postoperative pain and cosmetic outcomes of 2-port laparoscopic appendectomy (TLA) with 3-port conventional laparoscopic appendectomy (CLA).
• To evaluate the efficacy and patient experience of TLA versus CLA.

Main Methods:

• A retrospective matched-cohort study comparing 32 patients undergoing TLA with 38 patients undergoing CLA.
• TLA utilized a needle grasper for appendix retrieval through a single incision at McBurney's point.
• Data collected included demographics, operative details, and postoperative outcomes.

Main Results:

• The 2-port laparoscopic appendectomy (TLA) group reported significantly lower pain scores within the first 12 hours post-surgery compared to the 3-port conventional laparoscopic appendectomy (CLA) group (P < 0.001).
• While operative time was longer for TLA, complication rates, hospital stay, and time to oral intake were comparable between groups.
• One wound infection occurred in the TLA group; the CLA group had one intra-abdominal abscess and three wound infections.

Conclusions:

• 2-port laparoscopic appendectomy (TLA) using a needle grasper demonstrates superior pain management and cosmetic results compared to 3-port CLA.
• TLA offers a potentially cost-effective and less invasive alternative to traditional laparoscopic appendectomy due to fewer ports.
• The technique shows promise for improving patient recovery and satisfaction after appendectomy.