Comparison between Single Incision Laparoscopic Appendectomy (SILA) and Multi Port Laparoscopic Surgery (MPLA) in...

Area of Science:

• Surgical Innovation
• Minimally Invasive Surgery
• Gastrointestinal Surgery

Background:

• Single Incision Laparoscopic Appendectomy (SILA) and Multiport Laparoscopic Appendectomy (MPLA) are established appendectomy techniques.
• Comparative studies on their aesthetic outcomes and wound complications are ongoing.
• This research focuses on minimizing surgical trauma and infection risks.

Purpose of the Study:

• To compare Single Incision Laparoscopic Appendectomy (SILA) with Multiport Laparoscopic Appendectomy (MPLA).
• To evaluate differences in operative wounds, aesthetics, and complications.
• To assess safety profiles and patient outcomes.

Main Methods:

• A retrospective study of 49 patients (26 SILA, 23 MPLA) across two hospitals.
• Analysis of patient demographics, appendicitis grade, length of stay (LOS), operative time, and postoperative complications.
• Utilized SPSS for statistical analysis of collected data.

Main Results:

• No significant differences in complication rates (p=0.876) between SILA and MPLA.
• Length of stay (p=0.523) and operative time (p=0.185) were comparable.
• Wound healing was successful in 87.8% of cases, with no significant difference in dehiscence between techniques.

Conclusions:

• Both SILA and MPLA demonstrate comparable safety and efficacy for appendectomy.
• No statistically significant differences were observed in complications, LOS, or operative time.
• SILA may offer superior cosmetic results due to a single incision, potentially reducing surgical trauma.