J Korean Surg Soc.  2010 Apr;78(4):213-218. 10.4174/jkss.2010.78.4.213.

Laparoscopic vs Transumbilical Single-Port Laparoscopic Appendectomy; Results of Prospective Randomized Trial

• Park JH
• Hyun KH
• Park CH
• Choi SY
• Choi WH
• Kim DJ
• Lee S
• Kim JS

• KMID: 1750732
• DOI: http://doi.org/10.4174/jkss.2010.78.4.213

Abstract

PURPOSE
Conventional three-port laparoscopic appendectomy (LA) is more commonly performed than transumbilical single port laparoscopic appendectomy (TUSPLA). In this report, we performed a prospective randomized study comparing the outcomes of LA and TUSPLA.
METHODS
Between April 14, 2009 and June 10, 2009, 40 patients who required laparoscopic appendectomies were randomly selected to receive either a TUSPLA or a LA. None of these patients had perforation or abscess. Twenty of the patients received a LA and the other 20 received a TUSPLA. The clinical outcomes and visual analog pain scores (VAS) were compared between the groups.
RESULTS
The TUSPLA procedures were performed successfully in every indicated patient. Clinical outcomes were similar in both study groups. The TUSPLA group showed a significantly higher VAS score 24 hours postoperatively than the LA group.
CONCLUSION
Compared with LA, TUSPLA was technically feasible and safe in patients with non-complicated appendicitis. However, the patients in the TUSPLA group reported more postoperative pain than those in the LA group.

Keyword

Transumbilical single-port laparoscopic appendectomy (TUSPLA); Natural orifice trans-umbilical surgery (NOTUS)

MeSH Terms

Abscess
Appendectomy
Appendicitis
Humans
Pain, Postoperative
Prospective Studies

Figure

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  Fig. 1 Patient allocation.

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  Fig. 2 Visual analog pain scores during first 48 postoperative hours after operation

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