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Single-port laparoscopic surgery in uncomplicated acute appendicitis: a randomized controlled trial
Byung Mo Kang1, Sung Il Choi2, Bum-Soo Kim2
1Department of Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, South Korea.
Surgical Endoscopy
|January 18, 2018
Summary
Single-port laparoscopic surgery (SPLS) is a safe alternative for appendicitis, with similar complication rates to multiport laparoscopic surgery (MPLS). However, SPLS may lead to longer recovery times and increased costs.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Gastrointestinal Surgery
Background:
- Appendicitis management often involves laparoscopic surgery.
- Single-port laparoscopic surgery (SPLS) offers a minimally invasive approach.
- Evaluating SPLS for uncomplicated appendicitis is crucial.
Purpose of the Study:
- To compare the safety and efficacy of SPLS versus multiport laparoscopic surgery (MPLS) for uncomplicated appendicitis.
- To assess perioperative morbidity as the primary endpoint.
- To analyze outcomes including operation time, complications, and recovery.
Main Methods:
- A randomized trial included 194 patients with acute appendicitis.
- Patients were allocated to either SPLS or MPLS.
- Exclusion criteria included perforated appendicitis; analysis was intention-to-treat.
Main Results:
- No significant difference in intraoperative or postoperative complications between SPLS and MPLS.
- SPLS showed increased operation time, delayed flatus passage, and longer hospital stay.
- Higher analgesic use and total costs were observed in the SPLS group.
Conclusions:
- SPLS is a safe alternative for uncomplicated appendicitis, with comparable complication rates to MPLS.
- Potential disadvantages of SPLS include longer operation time, delayed recovery, and increased costs.
- SPLS demonstrates comparable safety but potential drawbacks in functional recovery and resource utilization.
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