Feasibility of Single Port Laparoscopic Surgery in Patients with Perforated Appendicitis

Abstract

Acute appendicitis is a common disease which requires emergency surgery. Since its first introduction by Semm in 1983, 1 laparoscopic appendectomy has been conducted more frequently than the open appendectomy. This has been due to numerous advantages of laparoscopic appendectomy, such as less postoperative pain, faster recovery, lower wound complication, and shorter length of hospital stay. 2-4 As minimal invasive surgical techniques and instruments have gradually developed, the use of single-port laparoscopic appendectomy (SPLA) has become more frequent and numerous studies addressed the advantages and disadvantages of SPLA as compared to conventional laparoscopic appendectomy (CLA). 5,6 However, SPLA has some technical limits, such as restricted vision and reduced degree of freedom in using laparoscopic instruments. 7 Therefore, this study aims to investigate feasibility, safety, and cosmetic result of SPLA in treating perforated appendicitis, which is a more difficult procedure than SPLA for simple and gangrenous appendicitis.

Influence of Internet dissemination on hospital selection for benign surgical disease: A single center retrospective study

“…Our Hospital specializes in hernia, appendicitis, and gallbladder disease, and it offers related information on its Web site. We have published many research articles in various journals based on the medical records of patients since the hospital opened in September 2012 . Those research efforts have led to many advantages, such as shorter operation times and reduced postoperative pain for patients .…”

“…We have published many research articles in various journals based on the medical records of patients since the hospital opened in September 2012. [18][19][20][21][22][23][24][25] Those research efforts have led to many advantages, such as shorter operation times and reduced postoperative pain for patients. 18 We compared the average operation times and hospitalization days at our Hospital with those of HIRA.…”

“…[18][19][20][21][22][23][24][25] Those research efforts have led to many advantages, such as shorter operation times and reduced postoperative pain for patients. 18 We compared the average operation times and hospitalization days at our Hospital with those of HIRA. We found that for each disease, the average operation time and number of hospitalization days at our Hospital were shorter than those of HIRA (Table 4).…”

Outcomes of Laparoscopic Appendectomy; A Prospective Study Focusing On Gender Wise Comparison of Complications of the Surgery

“…It has turned out to be the standard treatment of choice for acute appendicitis, remained chiefly unaffected for 100 years due to its approving effectiveness and safety. Ever since the arrival of laparoscopy, appendectomy has progressively more been performed by means of a minimal invasive approach, subsequent the first report by Semm in 1983 9 . Laparoscopic appendectomy has speedily developed in recent years.…”

“…LA has several advantage over OA like shorter hospital stay, lesser postoperative pain, lower chances of wound infection and less postoperative pain which iswhy the frequency of conducting LA has been more than OA 13,14 . Hence, the usage of LA remains controversial, in contrast to the broad approval of laparoscopic cholecystectomy since its innovation 9 . Nowadays, in health care setup outpatient surgery is among the largest rising areas, which is because of its capability to offer satisfactory and cost effective care with less time consumption.…”