J Minim Invasive Surg.  2018 Jun;21(2):65-69. 10.7602/jmis.2018.21.2.65.

Initial Experience with Single Incision Laparoscopic Appendectomy by Surgical Resident

• Choi JH
• Choi YI

• KMID: 2436226
• DOI: http://doi.org/10.7602/jmis.2018.21.2.65

Abstract

PURPOSE
Laparoscopic appendectomy (LA) is a popular procedure for acute appendicitis. Its minimally invasive nature has made LA a commonly performed surgical technique for surgical residents. However, single incision laparoscopic surgery (SILS) poses a challenge to inexperienced surgical residents. We described our initial experience in teaching SILS for appendectomy in our medical center.
METHODS
Twenty nine cases of SILA were performed by single surgical resident and 110 cases of LA were performed by four surgical residents and five board-certified surgeons. Data were reviewed retrospectively.
RESULTS
The mean SILA and multi-port laparoscopic appendectomy (MLA) operative time was 44.5±14 min (range 25~85 min) and 74.8±26 min (range 20~125 min), respectively. The shorter time for SILA was significant (p<0.05). Postoperative hospital stay was 3.3±1.6 days (range 2~6 days) following SILA and 4.0±2.9 days (range 2~12 days) following MLA (p<0.05). Three cases of wound infection developed following SILA. Complications in the MLA patients included one cases each of operative bladder injury and postoperative ileus.
CONCLUSION
SILA is a considerable training method for laparoscopic surgery for a surgical resident learning SILS.

Keyword

Laparoscopic appendectomy; Single incision laparoscopic surgery; Surgical resident

MeSH Terms

Appendectomy*
Appendicitis
Humans
Ileus
Laparoscopy
Learning
Length of Stay
Methods
Operative Time
Retrospective Studies
Surgeons
Urinary Bladder
Wound Infection