A Prospective, Randomized Controlled Trial of Single-Incision Laparoscopic vs Conventional 3-Port Laparoscopic Appendectomy for Treatment of Acute Appendicitis

Carter, Jonathan T.; Kaplan, Jennifer A.; Nguyen, Jason N.; Lin, Matthew; Rogers, Stanley J.; Harris, Hobart W.

doi:10.1016/j.jamcollsurg.2013.12.052

Cited by 95 publications

(74 citation statements)

References 30 publications

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“…According to Carter and al [11], TULA resulted in more pain and longer operative time without improving short term recovery or complications comparing to the three ports laparoscopic appendectomy , while in our study the PEA was associated with significantly shorter operative time and lower complication rate than the conventional laparoscopic appendectomy (Table 3). In a precedent study performed in our department the mean operative time for conventional laparoscopic appendectomy was 53 min.…”

Section: Discussionsupporting

confidence: 40%

Port Exteriorization Appendectomy in children: An Alternative to Conventional Laparoscopic Technique?

Chouikh¹

2015

JPNC

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Section: Discussionsupporting

confidence: 40%

Port Exteriorization Appendectomy in children: An Alternative to Conventional Laparoscopic Technique?

Chouikh¹

2015

JPNC

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“…Less post-operative pain also allows less use of analgesics. In the study conducted by Carter et al [20] showed the SILA patients reported a mean pain score of 4.4 of 10 in the first 12 hours after surgery, compared with 3.5 for 3-port patients. A visual analogous scale was used from 0-10 in which 0 refers no pain whereas as 10 refers to severe pain in ascending order.…”

Section: Discussionmentioning

confidence: 97%

“…As one study by Adolfo et al [30] showed the mean postoperative hospital stay was shorter in the SILA group than in the 3PLA group but the difference was not significant. Other studies though, didn't find a much significant difference in hospital stay [20,23,31,32]. However some studies regarding SILC was said to have a significantly shorter stay in the hospital [33].…”

Section: Length Of Hospital Staymentioning

confidence: 95%

“…According to the studies conducted by Teoh [16,18,[20][21][22][23] the results showed that SILA was associated with significant longer operative times than 3-port LA. More time is needed for performing SILA than 3PLA may be due to the characteristic single incision of SILA technique would increase its technical difficulty because all surgical procedures have to be performed in one working channel [18,24].…”

Section: Operative Timementioning

confidence: 99%

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Can Single Incision Laparoscopic Appendectomy Replace the Traditional Three Port Laparoscopic Approach in Coming Future: A Review

Chand¹,

Ling²

2015

Surgery

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Journal of Surgery[ IntroductionMedicine is an ever-changing and ever-growing field where day after day and year after year new things are invented, applied for the treatment of various diseases. In the line of treatment, surgery has been one of the feared treatment options for most of the patients; therefore surgeons try to provide the patients with the best possible surgical treatment options. The best possible surgical option has always been the one with the lesser complications intra and postoperatively, wellcontrolled pain, less stay at hospital etc. Both doctors and patient don't want to maximize hospital stay as one study stated that extended hospital stay has been associated with increased incidence of hospital acquired infections, which causes further increase in morbidity and mortality [1]. One of the greatest achievements in the history of surgery has been evolved from open surgical techniques to the operative video-laparoscopy Acute appendicitis is one of the most common cause of acute abdomen and one of the most common surgical emergencies. Appendectomy for acute appendicitis is one of the most commonly performed surgical procedures [2]. The surgical technique of first open appendectomy (OA) was performed by Dr. Charles Mcburney in and this approach has not significantly changed in the last 1 century [3]. In 1983, Dr. Kurt Semm, performed first minimally invasive laparoscopic appendectomy, thereafter LA has become the standard of practice in uncomplicated appendectomies in most minimally invasive institution [4]. In the past few years of minimally invasive surgery, LESS, NOTES has gained popularity. SILA was first described in 1998 by Esposito and has gained popularity as a method with a concept of ''scarless'' abdomen [5]. While Pelosi in 1992 performed the first SILA for acute appendicitis [6]. Innovative methods such as NOTES (Natural Orifice Tran luminal Endoscopic Surgery) and single incision laparoscopy (SIL) have demonstrated promissory results in various surgical procedures, appendectomy among them [7]. According to a recent study, SILA resulted in faster recovery than conventional 3-port LA [8]. However in some other studies it has also been reported that SILS is associated with a longer operative time and higher postoperative pain scores, and that patients need more analgesics to feel comfortable [9]. NOTES, SILS, and robotic surgery do not constitute techniques, rather they are concepts, hence regarded as transitions from laparoscopic surgery to unknown fields of minimally invasive therapeutic modalities [10]. SILS was recommended as a possible alternative of the traditional laparoscopic surgery via four ports for the biliary tact by Navarra et al. [11]. With NOTES having a diminished success, because of the inability to find a clean site for access, thereby increasing the chances of intra-abdominal spillage or infection from the incision [12] increased interest has been seen in SILS. SILS occupies a space between NOTES and standard laparoscopy [13]. There have been several studies regard...

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“…In addition, in recent years, efforts to improve LA have led to a reduction in port size diameter and the number of laparoscopic access sites needed and to the introduction of SILS. [6][7][8][9] Between July 2008 and April 2013, 360 patients with colorectal cancer underwent laparoscopic surgery at our institution. Our experience with this surgical technique showed it to be safe and feasible, with good short-and long-term outcomes.…”

Section: Discussionmentioning

confidence: 99%

A Single Case of Single-Port Access Laparoscopic Appendectomy During the Puerperium

Matsuhashi

Takahashi

Ichikawa

et al. 2015

International Surgery

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Laparoscopic appendectomy is now widely practiced for the treatment of acute appendicitis. As result of increased demand for minimally invasive surgery, singleincision access was introduced and is being performed in various abdominal surgeries. Conventional laparoscopic appendectomy (LA) is gradually being performed in pregnant women. A 33-year-old woman was referred to our department at 39 weeks and 1 day of gestation due to abdominal pain. She was aware of her gastroepiploic pain even after the delivery. Though it was past 2 days, she was not recovering from right lower abdominal pain, so she was transferred to the Department of Gynecology at our hospital on the same day. Although an antibiotic was administered, the right abdominal pain did not improve, and she was referred to our department from the Department of Gynecology. We performed single-port LA (SP-LA). The total operation time was 63 minutes, and the estimated blood loss was 0 mL. She was discharged with no complications on postoperative day 7. We report our initial experience with single-port LA (SP-LA) using the glove technique for treatment of acute appendicitis in a postpartum woman. SP-LA using the glove technique was performed successfully during the puerperium without prolongation of operation time. This approach is less invasive, offers a much better cosmetic result than with conventional methods, and can be performed safely and at low cost.

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A Prospective, Randomized Controlled Trial of Single-Incision Laparoscopic vs Conventional 3-Port Laparoscopic Appendectomy for Treatment of Acute Appendicitis

Cited by 95 publications

References 30 publications

Port Exteriorization Appendectomy in children: An Alternative to Conventional Laparoscopic Technique?

Port Exteriorization Appendectomy in children: An Alternative to Conventional Laparoscopic Technique?

Can Single Incision Laparoscopic Appendectomy Replace the Traditional Three Port Laparoscopic Approach in Coming Future: A Review

A Single Case of Single-Port Access Laparoscopic Appendectomy During the Puerperium

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