Conventional laparoscopic appendectomy versus double-incision, three-port laparoscopic appendectomy: A 1-year...

Area of Science:

• Minimally Invasive Surgery
• Surgical Innovation
• Gastrointestinal Surgery

Background:

• Appendicitis management has evolved from open surgery to minimally invasive techniques.
• Double-incision laparoscopic surgery (DILA) reduces incisions, bridging conventional laparoscopy and single-incision surgery.
• DILA aims to further minimize invasiveness in laparoscopic appendectomy.

Purpose of the Study:

• To establish the efficacy of double-incision, three-port laparoscopic appendectomy (DILA).
• To compare DILA with conventional three-port laparoscopic appendectomy (CLA).
• To evaluate operative outcomes, postoperative pain, and cosmetic results.

Main Methods:

• Randomized controlled trial involving 60 patients.
• Patients were divided into CLA and DILA groups.
• Data collected included demographics, operative time, postoperative pain, and cosmetic outcomes.

Main Results:

• No significant differences in demographic or clinical characteristics between groups.
• Postoperative pain at 6 and 24 hours was similar between DILA and CLA.
• Patients in the DILA group reported superior cosmetic outcomes compared to the CLA group (P=0.04).
• Operative times were comparable: 26.4 min for CLA and 27.6 min for DILA.

Conclusions:

• Double-incision laparoscopic appendectomy (DILA) provides equivalent operative outcomes to conventional laparoscopic appendectomy (CLA).
• DILA demonstrates superior cosmetic results compared to CLA.
• DILA is a promising alternative for laparoscopic appendectomy with enhanced aesthetic benefits.