Comparison of Single‐Person Laparoscopic Appendectomy Using a Novel Brace‐Assisted Camera Holding System and Conventional Laparoscopic Appendectomy: A Neural Network Algorithm Analysis

Abstract

Background. Acute appendicitis represents one of the main causes of surgical emergencies. It can be approached as an open appendectomy or a laparoscopic appendectomy (LA). However, LA generally requires the cooperation of a surgeon and an assistant. This study aims to compare the safety and efficacy of the novel brace-assisted single-person laparoscopic appendectomy (BASPLA) with conventional laparoscopic appendectomy (CLA) in the treatment of patients diagnosed with acute appendicitis by neural network algorithm analysis. Methods. Between January 2020 and December 2021,a total of 120 adult patients with acute appendicitis were randomized to the BASPLA group (62 cases) and the CLA group (58 cases).The clinical data were compared between the two groups, including demographics, clinical characteristics, and outcomes. Results. There was no significant difference in patients’ pain scores before operation (p = 0.68) and after operation (p = 0.81) and patient-reported cosmetic scores (p = 0.43) between the two groups. Operation time in the BASPLA group was longer than that in the CLA group (p<0.001). There were no significant differences in the conversion rate (p = 0.94), analgesics required before (p = 0.91) and after the operation (p = 0.78), intraoperative bleeding (p = 0.53), recovery of bowel movement time (p = 0.26), hospital stay (p = 0.06), and complication rate (p = 0.84) between the two groups. Conclusions. BASPLA for adult acute appendicitis can be a substitute for CLA, BASPLA is comparable to CLA in postoperative pain and quality of life. Compared to surgical assistants, it not only provides a stable, clear image for the surgeon but also frees up personnel. Especially in emergency surgery, it can achieve satisfactory clinical efficacy without requiring an assistant.

The Study of Comparison of Single-Incision Laparoscopic Versus Conventional Laparoscopic Appendectomy: A Comprehensive Systematic Review

“…Especially in emergency surgery, it can achieve satisfactory clinical efficacy without requiring an assistant. 14 Wu, S et al, 2022 showed SILA performed with only conventional laparoscopic instruments was associated with reduced hospital stay and cost and higher cosmetic satisfaction in comparison to CLA. However, it is technically demanding and may increase operative time.…”

The Impact of Laparoscopic Appendectomy and Open Appendectomy on B7-H3-Mediated Intrinsic Immune Response in Children with Acute Suppurative Appendicitis

“…ASA is a condition in which the lesion has invaded the entire appendiceal wall, with marked swelling of the appendix and elevation of the outer appendiceal plasma membrane. 12 Due to the small size of the appendix in early childhood, the appendix wall is weak, with little basal tissue, and when circulatory disorders of appendiceal blood flow occur, the appendix is locally ischemic and necrotic, which is conducive to the propagation and growth of pathogens. Therefore, ASA was previously reported to be the dominant cause of acute abdominal infections in children.…”