Feasibility of single-incision laparoscopic appendectomy in a small hospital

Abstract

PurposeThis study aimed to compare clinical outcomes for single-incision laparoscopic appendectomy (SILA) and conventional laparoscopic appendectomy (CLA) for the treatment of acute appendicitis and to assess the feasibility of performing SILA in a small hospital with limited surgical instruments and staff experience.MethodsRetrospective record review identified 133 patients who underwent laparoscopic appendectomy from December 2013 to April 2015. Patients were categorized according to the type of appendectomy performed (SILA or CLA). Patient characteristics and surgical outcomes were compared between the 2 groups. Postoperative complication rates were compared using the Clavien-Dindo classification. Postoperative pain was assessed using a visual analog scale immediately postsurgery; at 12, 24, 36, and 48 hours postoperatively, and at 7 days postoperatively.ResultsRecord review identified 38 patients who had undergone SILA and 95 patients who had undergone CLA. No significant differences in clinical characteristics were found between the 2 groups. There were no significant differences in operation time, time to flatus, or length of hospital stay. Overall complication rates were not significantly different between the 2 groups. No complications worse than grade IIIa occurred in the SILA group. Postoperative pain scores were not significantly different between the 2 groups at any time point.ConclusionWe found comparable surgical outcomes for SILA compared to CLA. Even in a small hospital with limited surgical instruments and staff experience, SILA may be a feasible and safe technique.

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

“…Therefore, as single-site access laparoscopic procedures have become a rapidly evolving trend in the surgical field, single-incision laparoscopic appendectomy (SILA) has recently gained popularity as a treatment for acute appendicitis. [23][24][25]…”

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

“…However, a common feature of both LA erefore, it is necessary to analyze the influence of the neural network algorithm to improve the accuracy of the diagnostic results. Most previous reports on SPLA and CLA were retrospective studies [15][16][17], and a few randomized controlled studies [4,18] also mainly used clinical objective indicators as outcome indicators, lacking PRO [12]. PRO refers to the report of the patient's own health status, functional status, and treatment feelings.…”

Emergency Laparoscopic Appendectomy In Ghana: The 37 Military Hospital Method

“…What is the gold standard method of laparoscopic appendectomy? There are varied methods of laparoscopic appendectomy described based on surgeon and institutional preferences 3,[11][12][13][14][15][16][17][18] . The single port laparoscopic appendectomy has its appeal in the better cosmetic effect 11 .…”

“…The presence of the umbilical stay suture in our method prevents any port site leakage of gas. The number and placement of port continue to evolve in laparoscopic surgery [13][14][15] . The relatively high risk of hypertrophic scars among our patient population informed our choice of port placement sites.…”