Single site multiport umbilical laparoscopic appendicectomy versus conventional multiport laparoscopic appendicectomy in acute settings

Jategaonkar, Priyadarshan Anand; Sp, Yadav

doi:10.1308/003588414x13946184901641

Cited by 11 publications

(13 citation statements)

References 12 publications

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“…However, in recent years, laparoscopic appendectomy has been widely performed, and now, single‐incision laparoscopic appendectomies are commonly performed. This surgical approach is minimally invasive and produces excellent cosmetic outcomes .…”

Section: Introductionmentioning

confidence: 99%

Transumbilical laparoscopic appendectomy performed by residents is safe and feasible

Endo

Kujirai

Maeda

et al. 2016

Asian J Endoscop Surgery

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Section: Introductionmentioning

confidence: 99%

Transumbilical laparoscopic appendectomy performed by residents is safe and feasible

Endo

Kujirai

Maeda

et al. 2016

Asian J Endoscop Surgery

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“…In general, the degree of postoperative pain is mostly caused by trauma to muscles and parietal peritoneum. [21,22] Since no trocar is inserted through the muscle, it is predicted to show lesser pain in patients who undergo SPLA compared to MPLA [18,19,23,24]. Jatenaonkar et al [24] and Kye et al [20] showed that pain scores on day 0 and 1 were signi cantly less in the SPLA group than MPLA, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…[21,22] Since no trocar is inserted through the muscle, it is predicted to show lesser pain in patients who undergo SPLA compared to MPLA [18,19,23,24]. Jatenaonkar et al [24] and Kye et al [20] showed that pain scores on day 0 and 1 were signi cantly less in the SPLA group than MPLA, respectively. One study reported that pain score and the number of using hydromorphone during 12 hours were lower in SPLA group compared to MPLA group [19].…”

Section: Discussionmentioning

confidence: 99%

“…Carter et al [19] used their own Body Image Questionaire and Cosmetic Appearance Scale and reported that cosmetic outcomes after 6 months were excellent and indistinguishable in SPLA and MPLA groups. However, Jategaonkar et al showed the favorable cosmetic outcomes in SPLA group using Easy-to-use scar grade that was based on patients' subjective feeling about the postoperative scars (1 = thrilled, 2 = happy, 3 = not bothered, 4 = unhappy) [24]. In the current study, patients who underwent SPLA checked better cosmetic outcomes in appearance and consciousness sub-items and total score, while patients' satisfactions with their scars' appearance and consciousness sub-items did not show the signi cant differences.…”

Section: Discussionmentioning

confidence: 99%

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Impact of single-port laparoscopic approach on postoperative pain and cosmesis for acute appendicitis: a comparison with multi-port laparoscopic approach

Kim

Cho

Bae

et al. 2021

Preprint

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Background: Acute appendicitis is the most common surgical abdominal emergency. Single-port laparoscopic appendectomy (SPLA) has been suggested potential advantages including less postoperative pain and better cosmesis. The aim of this study was to compare the postoperative pain and cosmetic outcomes between SPLA and multi-port laparoscopic appendectomy (MPLA) for acute appendicitis.Materials and methods: The study included 47 patients who underwent SPLA and 51 patients who underwent MPLA for acute appendicitis between August 2014 and November 2017. The patient scar assessment questionnaire (PSAQ) was used to assess cosmetic outcomes. Results: MPLA involved a longer median operative time than MPLA (60 vs. 47.5 minutes, p=0.02). There were no apparent differences in the time before diet tolerance, length of hospital stay, inflammatory laboratory findings including C-reactive protein and white blood cell count, and postoperative complication rate. SPLA patients had a smaller total incision length (2.0 vs. 2.5 cm, p<0.001) and the total number of analgesics used on postoperative day 0 in the SPLA group was significantly lower than that of the MPLA group (1 vs. 1, p=0.011). The PSAQ scores showed that the SPLA group had a better overall outcome than the MPLA group with respect to total score (48 vs. 55; p = 0.026), appearance (15 vs. 18; p = 0.002) and consciousness (8 vs. 10; p = 0.005), but not in the satisfaction with appearance and symptoms subscales.Conclusion: SPLA is safe and feasible and provides better cosmetic outcomes and less analgesic requirements on the day of surgery compared to MPLA.

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“…In a study that compared conventional multiport laparoscopic appendectomy (CMLA) with single site multiport umbilical laparoscopic appendectomy (SMULA), mean operative times were found to be nearly equal in both groups (43 min). However, cosmetic results were reported to be better in the SMULA group [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Hybrid appendectomy with classic trocar on McBurney's point.

Güneş

Ersöz²,

Düzköylü

et al. 2017

Videosurgery and Other Miniinvasive Techniques

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Introduction Appendectomy is still the most commonly performed intra-abdominal operation worldwide. Interestingly, it has not reached the same popularity as other laparoscopic surgical procedures. Although multiple techniques have been described, a standard approach has not been described for the laparoscopic technique yet. Aim To perform hybrid appendectomy for acute appendicitis on McBurney’s point, aiming to perform an easier and quicker procedure while limiting the trauma to the abdominal wall by obtaining the advantages of both laparoscopic and open techniques. Material and methods We retrospectively evaluated the results of 24 patients on whom we had performed hybrid appendectomy with an optical trocar on McBurney’s point for acute appendicitis in 1 year in terms of demographics, operative time, complications, hospital stay and cosmetic results. Results Twenty-one of the patients underwent hybrid appendectomy with a one-optic trocar on McBurney’s point. The mean operative time was 21.4 ±6.2 min. We did not encounter any postoperative complications in any of the patients. The median hospital stay was 1.2 ±1.0 days. The postoperative scar was minimal. Conclusions This technique is defined in the literature for the first time, and it is easy and feasible for the surgeons. It may reduce the operative time and costs when compared to the conventional laparoscopic technique, but prospective studies with more patients are needed for more certain results.

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Single site multiport umbilical laparoscopic appendicectomy versus conventional multiport laparoscopic appendicectomy in acute settings

Abstract: The favourable outcomes for the SMULA technique are likely to be due to the three small segregated incisions at one place and better trocar ergonomics. The SMULA technique is safe in an acute setting and may be considered of value among the options for transumbilical appendicectomy.

Cited by 11 publications

References 12 publications

Transumbilical laparoscopic appendectomy performed by residents is safe and feasible

Transumbilical laparoscopic appendectomy performed by residents is safe and feasible

Impact of single-port laparoscopic approach on postoperative pain and cosmesis for acute appendicitis: a comparison with multi-port laparoscopic approach

Hybrid appendectomy with classic trocar on McBurney's point.

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