J Korean Surg Soc.  2010 May;78(5):338-342. 10.4174/jkss.2010.78.5.338.

Single-Port Laparoscopic Appendectomy

• Kim HJ
• Lee JI
• Lee SC
• Kim SH
• Lee IK
• Lee YS
• Cho HM
• Oh ST

• KMID: 2211963
• DOI: http://doi.org/10.4174/jkss.2010.78.5.338

Abstract

In the field of surgery, there are a large number of studies in progress for more minimally invasive surgery and cosmetic improvements. Among these studies, NOTES (natural orifice transluminal endoscopic surgery) and single-port laparoscopic surgery are the 2 studies attracting the most attention. Single-port laparoscopic surgery is a procedure where laparoscopic surgery is performed through a single incision at the umbilicus or another region. Until now, many kinds of surgeries were performed by single-port laparoscopy. In this article, the authors attempt to explain the procedures of single-port laparoscopic appendectomy in detail based on our experiences.

Keyword

Single-port; Laparoscopy; Appendectomy

MeSH Terms

Appendectomy
Cosmetics
Laparoscopy
Umbilicus
Cosmetics

Figure

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  Fig. 1 Image of a single-port. It is created by inserting two 5 mm trocars, one 10 mm trocar, and one three-way catheter in the finger portion of the surgical glove.

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  Fig. 2 Appendix removal. The resected appendix was inserted and sealed in one of the fingers of the surgical glove.

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  Fig. 3 Smoke evacuation. Smoke can be removed easily using a three-way catheter.

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  Fig. 4 Trocars location. Placing the trocars in the center is a method to facilitate the operation.

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  Fig. 5 Laparoscope insertion. Trocar is first inserted through the umbilical wound, the laparoscope is placed into the peritoneal cavity, and lastly the trocar is removed from the peritoneal cavity.

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  Fig. 6 Postoperative wound. Two weeks after the operation; there is no scar visible.

Reference

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2. Kim HJ, Lee JI, Lee YS, Kang WK, Lee SK, You YK, et al. A case of single port laparoscopic appendectomy and cholecystectomy in a fresh cadaver: a feasible procedure. J Korean Soc Coloproctol. 2009. 25:59–62.

3. Hong TH, Kim HL, Lee YS, Kim JJ, Lee KH, You YK, et al. Transumbilical single-port laparoscopic appendectomy (TUSPLA): scarless intracorporeal appendectomy. J Laparoendosc Adv Surg Tech A. 2009. 19:75–78.

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