Conventional laparoscopic appendectomy versus double‐incision, three‐port laparoscopic appendectomy: A 1‐year randomized controlled trial

Pattanshetti, Vishwanath M; Krishna, Kanyadhara Lohita

doi:10.1111/ases.12467

Cited by 8 publications

(7 citation statements)

References 22 publications

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“…12 Prior to SILS, Double-incision laparoscopic appendectomy (DILA) was introduced as a means of further minimizing the invasiveness of traditional laparoscopic surgery, by decreasing then number of incisions. 13 A randomized control trial has demonstrated that DILA can be performed with equivalent operative outcomes with superior cosmetic outcomes. 13 Successful operations using DILA urged the push for SILS, as stated previously, primarily for cosmetic reasons.…”

Section: Discussionmentioning

confidence: 99%

“…13 A randomized control trial has demonstrated that DILA can be performed with equivalent operative outcomes with superior cosmetic outcomes. 13 Successful operations using DILA urged the push for SILS, as stated previously, primarily for cosmetic reasons. 11 In direct comparison to traditional laparoscopic appendectomy, SILS appendectomy can be conducted with comparable operative times, lengths of stay, and procedural complications, and with superior cosmetic outcomes -the main downside noted being the cost.…”

Section: Discussionmentioning

confidence: 99%

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Da vinci SILS-appendectomy for appendiceal endometriosis secondary to stage IV endometriosis: a case report and review of literature

Guan¹,

Rezai²,

Patel³

et al. 2018

OGIJ

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Background: Endometriosis is defined as functional endometrial tissue located outside of the uterine cavity. Typical symptoms include dysmenorrhea, non-cyclic dyspareunia, irregular or heavy menstrual bleeding, dyschezia, and infertility. Previously, Robotic Assisted (RA)-laparoscopic surgery was the procedure of choice when treating stage IV endometriosis. Single Incision Laparoscopic Surgery (SILS) is a new technique, gaining popularity for its versatile use in various surgical procedures. We present a case report of a patient with stage IV appendiceal endometriosis managed with Da Vinci RA-SILS appendectomy and a literature review. Case: The patient was a 34-year-old female Gravida 0, Para 0 with a chief complaint of dysmenorrhea, chronic pelvic pain and cramping. She reported a history of infertility for 18 months. The patient was diagnosed with a right pelvic sidewall nodule with endometriosis, left round ligament endometriosis, left anterior broad ligament endometriosis, posterior cul-de-sac endometriosis, with bladder, uterine, and appendiceal endometriosis. The patient underwent hysteroscopy, chromotubation, and Da Vinci RA-SILS resection of appendiceal endometriosis. Conclusion: Although rare, endometriotic involvement of appendix can be a symptomatic complication of gastrointestinal involvement and may present as acute appendicitis or even nonspecific abdominal pain, requiring appendectomy. With modern advancements, it is now preferred to perform Da Vinci RA-SILS appendectomy in the setting of endometriosis for both surgical and cosmetic reasons.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Da vinci SILS-appendectomy for appendiceal endometriosis secondary to stage IV endometriosis: a case report and review of literature

Guan¹,

Rezai²,

Patel³

et al. 2018

OGIJ

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“…Jinhong Geng 1* , Jinfeng Yuan 2* , Xiangdong Kong 1 , Ming Wu 1 , Linwen Zeng 1 , Yuhong Hu 3 , and Jianming Gong 1 Brief Report Laparoscopic appendectomy (LA) traditionally uses 3 ports: 2 for the videoscope and 3 for the procedure. 1 More recently a large single port technique groups the 3 ports in a single site that uses a larger incision. 2 As an alternative to the 3-port and single-port methods, we developed a laparoscopic traction device to pull the appendix to facilitate its removal.…”

Section: Laparoscopic Traction Device For Assistance Of 2-port Laparoscopic Appendectomymentioning

confidence: 99%

Laparoscopic Traction Device for Assistance of 2-Port Laparoscopic Appendectomy

Geng¹,

Yuan²,

Kong³

et al. 2021

The American Surgeon

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“…Using an endoloop to tie off the appendix stump has been shown to be safe, and thus the use of a 10-mm port for the stapler can be avoided [5]. Various techniques to reduce the number [6, 7] and size of ports during LA have been published, and in children mini-instruments are commonly used [8, 9]. In adults use of a suture to suspend the appendix has been suggested by Roberts et al [7].…”

Section: Introductionmentioning

confidence: 99%

Development of a Two Port Laparoscopic Appendectomy Technique at a Rural Hospital

Bonatti

2019

Minimally Invasive Surgery

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Background. Laparoscopic appendectomy (LA) is most commonly performed using two 5-mm and one 10/12-mm ports. Various attempts to reduce the number and size of ports have been made and new technologies such as single port LA have been introduced. Appendix and mesoappendix are usually divided with a stapler or energy device with electrocautery, clips, and endoloop being cheaper options. Patients and Methods. This study includes 51 consecutive LAs performed at a rural hospital. Patients were divided into 4 groups: group 1 was the standard technique group (n=12), group 2 served as a “try-out” (n=12), group 3 served as feasibility group (n=12), and group 4 was the final patient cohort in which the optimized technique was preferably used (n=15). Results. Median age of the study cohort was 35.4 (range: 6.2-80.6) years, and 55% of patients were male. Whereas in G1 all patients had standard port placement (10/12-mm, 2x5-mm), in an increasing number of patients in G2-4 only two 5-mm ports and the 2.3-mm Teleflex minigrasper were inserted. Usage of staplers and/or energy devices was reduced from 100% in G1 to 20% in G4, and in the majority of cases both the appendix and the vascular pedicle were secured with an endoloop. The new technique did not add time to the procedure or total OR time. No stump-leaks or surgical site infections were encountered in this series, and there were no conversions to open surgery. Cost savings when not using a stapler or energy device are approximately 400$ per case; the minigrasper added approximately 200$ to the case. Discussion. LA with use of two ports and a portless needle grasper is feasible in the majority of cases and was associated with high patient satisfaction and excellent cosmetic results. Avoiding energy devices and staplers is cost saving; the endoloop securely controls appendix and mesoappendix.

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Conventional laparoscopic appendectomy versus double‐incision, three‐port laparoscopic appendectomy: A 1‐year randomized controlled trial

Abstract: DILA can be performed with operative outcomes that are equivalent to CLA but with superior cosmetic outcomes.

Cited by 8 publications

References 22 publications

Da vinci SILS-appendectomy for appendiceal endometriosis secondary to stage IV endometriosis: a case report and review of literature

Da vinci SILS-appendectomy for appendiceal endometriosis secondary to stage IV endometriosis: a case report and review of literature

Laparoscopic Traction Device for Assistance of 2-Port Laparoscopic Appendectomy

Development of a Two Port Laparoscopic Appendectomy Technique at a Rural Hospital

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