Randomized Prospective Study to Compare Laparoscopic Appendectomy Versus Umbilical Single-Incision Appendectomy

Frutos, María Dolores; Abrisqueta, Jesús; Luján, Juan; Abellán, Israel; Parrilla, Pascual

doi:10.1097/sla.0b013e318278d225

Cited by 148 publications

(134 citation statements)

References 24 publications

Supporting

Mentioning

127

Contrasting

Unclassified

Order By: Relevance

“…In terms of general surgery including appendectomy or cholecystectomy, recent several studies have reported that SILS is feasible and has similar surgical outcome without increasing significant complication (7)(8)(9)(10). In terms of malignancy of digestive tract, SILS has been eagerly investigated in colorectal cancer and showed comparable outcome in a few studies including randomized clinical trial…”

Section: Introduction For Single-incision Laparoscopic Surgery (Sils)mentioning

confidence: 99%

Single incision gastrectomy for gastric cancer

Suh

Lee

Yang

2016

Transl. Gastroenterol. Hepatol.

View full text Add to dashboard Cite

Based on rapid development of laparoscopic techniques and instruments, single-incision laparoscopic surgery (SILS) is expected to be the next step of "more" minimally invasive surgery. A few institutions gradually started to report their experience of single incision gastrectomy (SIG) for gastric cancer, but it is still difficult to accept that SIG can be performed as a popular procedure because of its technical difficulty. For wide adoption of SIG, the simplicity, safety and reproducibility of not only lymph node dissection but also reconstruction should be evaluated compared to a conventional procedure. With a thorough understanding of unique characteristics of SILS, single incision distal gastrectomy (SIDG) for early gastric cancer performed by laparoscopic surgeons with advanced technique is expected to have promising potential about excellent cosmesis, comparable morbidity and mortality in carefully selected patients. For appropriate adoption and steady progress of this state-of-the art surgery, scientific evaluation with healthy critics is necessary with new generation of SILS instrument platform.

show abstract

Section: Introduction For Single-incision Laparoscopic Surgery (Sils)mentioning

confidence: 99%

Single incision gastrectomy for gastric cancer

Suh

Lee

Yang

2016

Transl. Gastroenterol. Hepatol.

View full text Add to dashboard Cite

show abstract

“…And some studies showed post op pain to be increased in SILA. 12 Hence our technique could be a simple alternative to the glove port technique with better results in operative time, pain scores, hospital stay and cosmesis.…”

Section: Discussionmentioning

confidence: 99%

“…11 Kang et al in another study concluded that other than a marginal increase in operative time in SILA (0.276) all the other variables were quite comparable. 12 The glove port technique although cost effective could considerably increase operative time as it has a steep learning curve, and surgeons require high technical skills to perform it. And some studies showed post op pain to be increased in SILA.…”

Section: Discussionmentioning

confidence: 99%

Single incision laparoscopic appendicectomy versus conventional laparoscopic appendicectomy- a prospective study

2017

View full text Add to dashboard Cite

Background: The advent of Single incision laparoscopic appendicectomy (SILA) has encouraged surgeons to compare its benefits over conventional laparoscopic appendicectomy (CLA). We conducted a prospective study comparing SILA with CLA, evaluating parameters like operative time and complications, post-operative pain, duration of stay and the cosmetic outcome.Methods: A prospective, comparative study of 94 consecutive patients was conducted at our institution between December 2014 and May 2016. The data regarding the various parameters were documented in both groups of patients.Results: Among the 94 patients, 30 underwent SILA and 64 underwent CLA. We found statistically significant outcomes for SILA over CLA in variables such as operative time (p=0.0018), duration of hospital stay (p≤0.0001) and cosmetic outcome (p≤0.0001). Almost all patients in the SILA category showed no evidence of a scar after a three month follow up.Conclusions: SILA was found to have a better outcome than CLA with regard to operative time, hospital stay and cosmesis. We conclude that this technique of SILA can be a better alternative to CLA.

show abstract

“…Dolores et al reported that significant difference was observed for postoperative pain with less pain reported in single incision group. 1 Jieding at al reported that single incision laparoscopy surgery has the advantage of less post-operative pain when compare with conventional laparoscopy group. 2 Kye at al reported that pain score on the visual analog scale on postoperative Day 1 was significantly lower in the single-incision group than in the three-port group.…”

Section: Discussionmentioning

confidence: 99%

“…1 Single incision laparoscopic surgery is a major breakthrough in minimally invasive surgeries, involving access to the abdomen through a specialized port or through an incision which appears single externally but fascially has multiple punctures. 2 The prospective comparisons of single incision and conventional laparoscopy are lacking.…”

Section: Introductionmentioning

confidence: 99%

A comparative study between single incision multiport laparoscopic appendicectomy and conventional laparoscopic appendicectomy in tertiary care hospital, Kanchipuram District, Tamil Nadu, India

Babu¹,

Kumar²

2017

Int Surg J

View full text Add to dashboard Cite

Background: To compare the outcome of single incision multiport laparoscopic appendectomy versus conventional laparoscopic appendicectomy in terms of patient recovery time, post-operative pain in Karpaga Vinayaga Medical College and Hospital, Kanchipuram District, Tamil Nadu, India.Methods: A randomized control study was done by alternation with sample size of 50 which divided into two groups (study group 25 and control group 25) and study period is from August 2012 to September 2014.Results: Patient in single incision laparoscopy group show less post-operative pain in the first 6 and 12 hours compared to the conventional laparoscopy group, but no difference was noticed between the two groups after 24 hours. No significant difference in operating times was noted between the procedures.Conclusions: One patient in 25 who underwent single incision laparoscopy had wound infection, but no wound complications were noted in the conventional appendicectomy group. Patients underwent Single incision laparoscopy are happier with scar when compared with conventional laparoscopy group. No difference noted in the duration of post-operative hospital stay.

show abstract

Randomized Prospective Study to Compare Laparoscopic Appendectomy Versus Umbilical Single-Incision Appendectomy

Abstract: The transumbilical single-port approach is seen as a feasible technique for performing appendectomy. It does not increase the rate of complications and represents a possible alternative to conventional laparoscopic appendectomy.

Cited by 148 publications

References 24 publications

Single incision gastrectomy for gastric cancer

Single incision gastrectomy for gastric cancer

Single incision laparoscopic appendicectomy versus conventional laparoscopic appendicectomy- a prospective study

A comparative study between single incision multiport laparoscopic appendicectomy and conventional laparoscopic appendicectomy in tertiary care hospital, Kanchipuram District, Tamil Nadu, India

Contact Info

Product

Resources

About