J Korean Soc Coloproctol.  2010 Dec;26(6):388-394. 10.3393/jksc.2010.26.6.388.

Application of Single Incision Laparoscopic Surgery for Appendectomies in Patients with Complicated Appendicitis

• Kang KC
• Lee SY
• Kang DB
• Kim SH
• Oh JT
• Choi DH
• Park WC
• Lee JK

• KMID: 2101552
• DOI: http://doi.org/10.3393/jksc.2010.26.6.388

Abstract

PURPOSE
Recently, single incision laparoscopic surgery (SILS) has been studied for its being less invasive surgery and having cosmetic improvement. We investigated the application of SILS for an appendectomy (SILS-A) in cases of complicated appendicitis and compare it with a conventional laparoscopic appendectomy (C-LA).
METHODS
This study involved a total of 40 patients who underwent C-LA or SILS-A in patients with complicated appendicitis; 25 patients received a C-LA, and the other 15 patients received a SILS-A. The clinical outcomes and cosmetic results were compared between the groups.
RESULTS
The SILS-A procedures were performed successfully in patients with complicated appendicitis, but 6 patients who underwent SILS-A needed an additional port for dissection and drainage. Clinical outcomes and postoperative complications were similar in both study groups. The SILS-A group showed significantly higher numbers of pain control than the C-LA group, and the one port SLLS-A group showed significantly better cosmetic result than the C-LA group.
CONCLUSION
SILS-A is technically feasible and safe in patients with complicated appendicitis. However, SILS-A has more postoperative pain than C-LA, and more active pain control should be considered for patients undergoing SILS-A.

Keyword

Single incision; Laparoscopy; Appendicitis

MeSH Terms

Appendectomy
Appendicitis
Cosmetics
Drainage
Humans
Laparoscopy
Pain, Postoperative
Postoperative Complications
Cosmetics