Laparoscopic Appendectomy with a Single Incision in a Single Institute

Lee, Jin A; Sung, Ki Young; Lee, Jun Hyun; Lee, Do Sang

doi:10.3393/jksc.2010.26.4.260

Cited by 25 publications

(16 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The highest rates, however, were reported in papers using the 'SPILA unassisted' technique (2/10, 20%). 13 There were six intra-abdominal abscesses across all of the studies: five were reported in four 'SPILA unassisted' papers 9,11,19,21 and one in a 'hybrid' paper. 29 In total, complication rates appear to be highest for those procedures in which SPILA is not assisted by sutures or wire.…”

Section: Complication Ratesmentioning

confidence: 99%

See 1 more Smart Citation

Technical approaches to single port/incision laparoscopic appendicectomy: a literature review

Rehman¹,

Ahmed

2011

annals

View full text Add to dashboard Cite

INTRODUCTION Single port/incision laparoscopic surgery (SPILS) is a modern advancement toward stealth surgery. Despite the paucity of high-quality scientific studies assessing its effectiveness, this procedure is being used increasingly. This review aims to describe commonly used techniques for SPILS appendicectomies (SPILA), to summarise complication rates in the literature and to provide discussion on indications and implementation. METHODS All available databases including the Cochrane Central Register of Controlled Trials, MEDLINE ® and Embase ™ were searched in February 2011 and cross-referenced for available English literature describing SPILA in patients of any age. RESULTS Three broad technical approaches are described: procedures using laparoscopic instruments through a single skin incision in the abdominal wall, regardless of the number of fascial incisions, with or without the additional use of percutaneous sutures or wires to 'assist' the operation, and hybrid procedures, in which the appendix is exteriorised using a single incision laparoscopically assisted operation but subsequently divided using a conventional 'open' appendicectomy technique. Complication rates seem to be highest in SPILA procedures unassisted by sutures or wires. CONCLUSIONS Future research assessing the efficacy of single incision laparoscopic procedures should consider variation in technique as a possible factor affecting outcome.

show abstract

Section: Complication Ratesmentioning

confidence: 99%

“…Twenty studies [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] including 584 patients met the definition criteria for 'SPILA unassisted' approaches. The use of special multi-conduit ports was reported in four studies [4][5][6][7] ( Fig 1).…”

Section: Spila Unassistedmentioning

confidence: 99%

Technical approaches to single port/incision laparoscopic appendicectomy: a literature review

Rehman¹,

Ahmed

2011

annals

View full text Add to dashboard Cite

show abstract

“…[7] But, it increases the cost of the procedure and appropriate use of SILS-specific instruments demands a steep learning curve. To overcome these drawbacks, few surgeons have tried SILS appendicectomy using conventional laparoscopic instruments,[12–14] where they have used multiple ports through a single incision[12] or through a noncommercial SILS ports. [1314]…”

Section: Discussionmentioning

confidence: 99%

“…Jeen et al . [14] used a glove port, but they used lanceonate retractor to expand incision and then surgical glove was applied on the retractor. They used ultrasonic scalpel to cut the mesoappendix.…”

Section: Discussionmentioning

confidence: 99%

SILACIG: A novel technique of single-incision laparoscopic appendicectomy based on institutional experience of 29 cases

Uday

Bhargav

2013

J Min Access Surg

View full text Add to dashboard Cite

INTRODUCTION:More reports of single-incision laparoscopic appendectomy are appearing in literature as it is an improvement over multiport laparoscopy in further reducing the trauma to abdomen. But, most of techniques require expensive gadgets like commercial ports and manoeuverable instruments, which are not available at many centres. In this context, a feasibility study of our own operative technique of single-incision laparoscopic appendectomy with less expensive conventional instrumentation was conducted at a single centre.MATERIALS AND METHODS:This prospective study was carried out in tertiary care teaching institute of a semi-urban area in South India over a period of 1 year from March 2011 to February 2012. Twenty-nine patients of appendicitis were included in this study. Based on the principles of single-incision laparoscopy, we developed a glove port utilizing readily available operation theatre equipment.RESULTS:Mean operative time was 56±12 minutes. Mean age of subjects was 34±15 years. M: F ratio was 2:1. There was no significant perioperative morbidity or mortality. Mean follow-up period was 8 months.CONCLUSION:Our initial experience with this technique of single-incision laparoscopic appendectomy demonstrates its feasibility, safety at a very low cost.

show abstract

“…3 Lee AJ at al reported that no significant difference noted for mean operative time for Single incision laparoscopy group and conventional laparoscopy group. 4 One patient in single incision laparoscopy group had wound infection which was treated with antibiotics and re admission was not required. In conventional laparoscopy group, 2 patients had a hematoma around the surgical wound in the lower left quadrant, which did not require treatment.…”

Section: Discussionmentioning

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

Laparoscopic Appendectomy with a Single Incision in a Single Institute

Cited by 25 publications

References 13 publications

Technical approaches to single port/incision laparoscopic appendicectomy: a literature review

Technical approaches to single port/incision laparoscopic appendicectomy: a literature review

SILACIG: A novel technique of single-incision laparoscopic appendicectomy based on institutional experience of 29 cases

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