Systematic review and meta-analysis of single-incision versus conventional multiport appendicectomy

Abstract

SILA is a safe procedure for the treatment of acute appendicitis, with comparable clinical outcome to CLA when undertaken by experienced laparoscopic surgeons.

Systematic review and meta-analysis of single-incision versus conventional laparoscopic appendectomy in children

“…Random sequence generation SILA has emerged as a potential less invasive approach, and has been demonstrated to be comparable to CLA among the adult population by numerous meta-analyses [9][10][11][12][13][14][15][16][17][18], but systematic reviews that are focused on pediatric populations are still lacking. A child half as tall as an adult only provides one-eighth of the working space in the abdomen to the surgeon [42].…”

Abscess After Appendectomy

“…Although there was a trend toward higher incidence of abscess formation using SILA technique (2.7% vs 1.3%), this did not reach significance [44]. A meta-analysis published in 2013 included many of the same studies, including those conducted in the pediatric population and found no statistical difference in the rates of IAA among SILA patients (1.8%) and conventional laparoscopy (1.3%) [45]. Table 5 highlights these and other meta-analyses comparing SILA with LA.…”

Single-incision laparoscopic appendectomy versus conventional laparoscopy in adults. A systematic review

“…The above has been source of controversy among surgeons, since many argue that the SIL transgresses the principles of laparoscopic surgery by not counting with triangulation, among other features 32 .…”