Single-incision laparoscopic appendectomy is a safe procedure for beginners to perform: experience from 1948 cases

Lee, Gyeo Ra; Kim, Ji Hoon; Kim, Chang‐Hyun; Lee, Yoon Suk; Kim, Jin-Jo

doi:10.1007/s00464-020-07744-9

Cited by 9 publications

(13 citation statements)

References 22 publications

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“…Over 33,400 people died in the same year, with a death rate of 0.43 per 100,000 people [ 19 ]. Since its first description in 1983 by Semm [ 20 ], LA has been widely applied to treat complicated and uncomplicated appendicitis [ 4 , 6 ]. Compared to open surgery, LA has less postoperative pain and low doses of analgesics.…”

Section: Discussionmentioning

confidence: 99%

“…It allows for early activities, food intake, and a short stay in the hospital. Thus, patients can return early to normal activities and have fewer cosmetic problems after surgery [ 4 , 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…The single-incision laparoscopic appendectomy (SILA) is a virtually “scarless” procedure because a single port is located in the umbilicus [ 3 ]. It results in reduced postoperative pain, minor discomfort, and fewer surgical scares [ 4 - 6 ]. A new surgical concept usually raises many questions regarding safety, usefulness, appropriateness, applicability, and cost [ 7 - 9 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Laparoscopic Appendectomy Using the Surgical-Glove Port Through an Umbilical Incision: A Single-Center Retrospective Study

Sơn¹,

Học²,

Long³

et al. 2022

Cureus

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic Appendectomy Using the Surgical-Glove Port Through an Umbilical Incision: A Single-Center Retrospective Study

Sơn¹,

Học²,

Long³

et al. 2022

Cureus

View full text Add to dashboard Cite

“…Surgical stress in SILA is theoretically lower than that in colon resection surgery. It can be safely performed even by a surgical resident with an appropriate training protocol [17].…”

Section: Introductionmentioning

confidence: 99%

Comparing the Postoperative Outcomes of Single-Incision Laparoscopic Appendectomy and Three Port Appendectomy With Enhanced Recovery After Surgery Protocol for Acute Appendicitis: A Propensity Score Matching Analysis

et al. 2021

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The objective of this study was to compare the perioperative outcomes between single incision laparoscopic appendectomy (SILA) and three port appendectomy (CLA) in enhanced recovery after surgery (ERAS) protocol. Methods: Of 101 laparoscopic appendectomy with ERAS protocol cases for appendicitis from March 2019 to April 2020, 54 patients underwent SILA with multimodal analgesic approach (group 1) while 47 patients received CLA with multimodal analgesic approach (group 2). SILA and CLA were compared with the single institution's ERAS protocol. To adjust for baseline differences and selection bias, operative outcomes and complications were compared after propensity score matching (PSM). Results: After 1:1 PSM, well-matched 35 patients in each group were evaluated. Postoperative hospital stays for patients in group 1 (1.2±0.8 vs. 1.6±0.8 days, p =0.037) were significantly lesser than those for patients in group 2. However, opioid consumption (2.0 mg vs. 1.4 mg, p =0.1) and the postoperative visual analogue scores for pain at 6 hours (2.4±1.9 vs. 2.8±1.4, p = 0.260) and 12 hours (2.4±2.0 vs. 2.9±1.5, p=0.257) did not show significant difference between the two groups. Conclusion: SILA resulted in shortening the length of hospitalization without increase in complications or readmission rates compared to CLA with ERAS protocol.

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“…Surgical stress in SILA is theoretically lower than that in colon resection surgery. It can be safely performed even by a surgical resident with an appropriate training protocol [17]. However, evidence regarding the clinical effect of SILA combined with ERAS is lacking.…”

Section: Introductionmentioning

confidence: 99%

Comparing the Postoperative Outcomes of Single-Incision Laparoscopic Appendectomy and Three Port Appendectomy With Enhanced Recovery After Surgery Protocol for Acute Appendicitis: A Propensity Score Matching Analysis

et al. 2020

Self Cite

View full text Add to dashboard Cite

The objective of this study was to compare the perioperative outcomes between single-incision laparoscopic appendectomy (SILA) and 3-port conventional laparoscopic appendectomy (CLA) in enhanced recovery after surgery (ERAS) protocol. Methods: Of 101 laparoscopic appendectomy with ERAS protocol cases for appendicitis from March 2019 to April 2020, 54 patients underwent SILA with multimodal analgesic approach (group 1) while 47 patients received CLA with multimodal analgesic approach (group 2). SILA and CLA were compared with the single institution's ERAS protocol. To adjust for baseline differences and selection bias, operative outcomes and complications were compared after propensity score matching (PSM). Results: After 1:1 PSM, well-matched 35 patients in each group were evaluated. Postoperative hospital stays for patients in group 1 (1.2 ± 0.8 vs. 1.6 ± 0.8 days, P = 0.037) were significantly lesser than those for patients in group 2. However, opioid consumption (2.0 mg vs. 1.4 mg, P = 0.1) and the postoperative scores of visual analogue scale for pain at 6 hours (2.4 ± 1.9 vs. 2.8 ± 1.4, P = 0.260) and 12 hours (2.4 ± 2.0 vs. 2.9 ± 1.5, P = 0.257) did not show significant difference between the 2 groups. Conclusion: SILA resulted in shortening the length of hospitalization without increase in complications or readmission rates compared to CLA with ERAS protocol.

show abstract

Single-incision laparoscopic appendectomy is a safe procedure for beginners to perform: experience from 1948 cases

Cited by 9 publications

References 22 publications

Laparoscopic Appendectomy Using the Surgical-Glove Port Through an Umbilical Incision: A Single-Center Retrospective Study

Laparoscopic Appendectomy Using the Surgical-Glove Port Through an Umbilical Incision: A Single-Center Retrospective Study

Comparing the Postoperative Outcomes of Single-Incision Laparoscopic Appendectomy and Three Port Appendectomy With Enhanced Recovery After Surgery Protocol for Acute Appendicitis: A Propensity Score Matching Analysis

Comparing the Postoperative Outcomes of Single-Incision Laparoscopic Appendectomy and Three Port Appendectomy With Enhanced Recovery After Surgery Protocol for Acute Appendicitis: A Propensity Score Matching Analysis

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