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Single-port laparoscopic appendectomy using new surgical procedure versus conventional three-port laparoscopic
Fei Liu1, Quan Lv1, Chun-Yi Wang1
1Department of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Updates in Surgery
|March 5, 2024
Summary
New single-port laparoscopic appendectomy (NSLA) offers a shorter hospital stay for acute appendicitis patients compared to conventional three-port laparoscopic appendectomy (CTLA). NSLA demonstrates similar complication rates, proving safe and feasible.
Area of Science:
- Minimally Invasive Surgery
- Surgical Outcomes
- Gastrointestinal Surgery
Background:
- Acute appendicitis is a common surgical emergency.
- Laparoscopic appendectomy is the standard treatment.
- Single-port techniques aim to reduce invasiveness and improve cosmesis.
Purpose of the Study:
- To compare clinical outcomes between new single-port laparoscopic appendectomy (NSLA) and conventional three-port laparoscopic appendectomy (CTLA).
- To identify predictors of overall complications following appendectomy.
Main Methods:
- Retrospective analysis of 296 patients with acute appendicitis undergoing NSLA or CTLA from September 2021 to June 2023.
- Comparison of baseline characteristics, surgical, and postoperative data.
- Univariate and multivariate logistic regression for complication predictors.
Main Results:
- NSLA group showed a significantly shorter postoperative hospital stay (P < 0.01).
- No statistically significant differences in intraoperative blood loss, operation time, appendix nature, or overall complications between NSLA and CTLA.
- Age, neutrophil percentage, and fever were identified as predictors of overall complications, while the surgical procedure type (NSLA vs. CTLA) was not.
Conclusions:
- NSLA is a safe and feasible alternative to CTLA for acute appendicitis.
- NSLA offers the benefit of a reduced hospital stay without an increase in complications.
- Further research is warranted to assess the long-term outcomes of NSLA.
