Single incision laparoscopic appendectomy with surgical-glove port is cost-effective and reliable in complicated acute appendicitis: A casecontrol multicenter study in Colombia

Montenegro, Andrés Felipe Carrillo; Rojas, Sofía Aristizabal; Segura, Jean André Pulido; Pedraza, Mauricio; Padilla, Laura; Lozada-Martínez, Iván David; Narvaez‐Rojas, Alexis Rafael; Cabrera‐Vargas, Luis Felipe

doi:10.1016/j.heliyon.2023.e12972

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…It may be more suitable for elderly and pediatric patients. With the development of laparoscopic technology, transumbilical single-site, single-port laparoscopic surgery has been increasingly performed in pediatric appendectomy, but whether this technique has more obvious advantages than traditional three-port laparoscopy is still unknown ( 16 ). Because single-port laparoscopy requires special operating instruments, which significantly increases medical expenses, its application in primary hospitals in China has been significantly restricted ( 17 ).…”

Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic appendectomy versus traditional three-hole laparoscopic appendectomy for acute appendicitis in children by senior pediatric surgeons: a multicenter study from China

et al. 2023

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ObjectiveThe aim of this study was to evaluate the clinical efficacy of single-incision laparoscopy appendectomy (SILA) and traditional three-hole laparoscopy appendectomy (THLA) for the treatment of acute appendicitis in children.MethodsThe clinical data of children (<14 years old) who underwent laparoscopic appendectomy at Yijishan Hospital of Wannan Medical College, Hubei Provincial Maternal Health Hospital and Qingdao Women and Children's Medical Center from January 2019 to June 2022 were retrospectively analyzed. According to the operation method, the patients were assigned to the SILA group or the THLA group. The clinical data, including the efficacy, and the surgical details, including the complications, of the two surgical methods were compared. The personal information of the children and the time of disease onset were recorded.ResultsIn this study, the data of 588 patients, including 385 patients in the THLA group and 203 patients in the SILA group were collected. The baseline characteristics between the two groups of patients before surgery were comparable. There was no significant difference in the average operation time between the THLA group and the SILA group (56.31 ± 1.83 min vs. 57.48 ± 1.15 min, P > 0.05). There was also no significant difference in the average length of hospital stay between the THLA group and the SILA group (6.91 ± 0.24 days vs. 7.16 ± 0.36 days, P > 0.05). However, the FLACC scores of the SILA group (3.71 ± 0.78) were significantly lower than those of the THLA group (3.99 ± 0.56) on the second postoperative day, and the difference was significant (P < 0.05). The score of the questionnaire evaluating cosmetic appearance of the postoperative abdomen was significantly higher in the SILA group (15.81 ± 0.36) than in the THLA group (13.10 ± 0.24) (P < 0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P > 0.05).ConclusionSILA is more advantageous in terms of postoperative FLACC scores and cosmetic appearance in children than THLA. There was no significant difference in the incidence of complications or other aspects between the two surgical methods.

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Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic appendectomy versus traditional three-hole laparoscopic appendectomy for acute appendicitis in children by senior pediatric surgeons: a multicenter study from China

et al. 2023

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“…Turning attention to the literature on factors influencing costs, we found that recent international literature studies focused on the impacts of different treatment methods on the medical costs of appendicitis. [15][16][17][18][19] Since it spares the use of personal protective equipment, eases the strain on operating rooms, and lowers total expenses, nonoperative management may be more advantageous to health care systems than operative management. 19 However, most studies pointed to a significant increase in cost of care with nonoperative management, and they also suggested that prolonged hospital stays might be linked to higher care costs.…”

Section: Introductionmentioning

confidence: 99%

Hospitalization Costs for Patients with Acute Appendicitis: An Update Using Real-World Data from a Large Province in China

Peng,

He,

Bai

et al. 2023

RMHP

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The aim of this study is to investigate the factors influencing hospitalization costs for patients diagnosed with acute appendicitis in China. Methods: We conducted a cross-sectional study using data from Provincial Health Statistics Support System Database from S Province in China. This dataset contained all hospital's electronic medical records from January 1, 2015 to December 31, 2018 including both public and private hospitals. The target population was identified based on the principal diagnosis of appendicitis (ICD-10: K35). To examine the impact of various factors on hospitalization costs, we conducted a multivariate linear regression analysis. Furthermore, we employed the Shapley value decomposition method to gain a more comprehensive understanding of the factors that influenced hospitalization costs and their respective levels of importance. Results: Our study comprised 317,200 cases. During the period from 2015 to 2018, the average hospitalization expenses for patients with acute appendicitis were estimated at approximately 7014 RMB (1061 USD), which accounts for a considerable 12% of China's per capita GDP. The results of this study demonstrate a significant correlation between various factors, such as the patient's age, gender, marital status, occupation, payment method, number of complications, treatment method, hospital tier, and ownership, and the total hospitalization costs and subcomponents of hospitalization costs. Notably, the treatment method employed had the most substantial impact on hospitalization costs. Conclusion:To the best of knowledge, this is one of the first studies to investigate the hospitalization costs of acute appendicitis incorporating both patient-level and hospital-level covariates, using a large sample size. To reduce the costs associated with acute appendicitis in China, it is recommended to consider suitable treatment options and explore the option of receiving medical care at lower-tier and privately-owned healthcare facilities.

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Single-port vs. three-port for laparoscopic appendectomy

Deng,

2024

Asian Journal of Surgery

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Single incision laparoscopic appendectomy with surgical-glove port is cost-effective and reliable in complicated acute appendicitis: A casecontrol multicenter study in Colombia

Cited by 3 publications

References 22 publications

Single-incision laparoscopic appendectomy versus traditional three-hole laparoscopic appendectomy for acute appendicitis in children by senior pediatric surgeons: a multicenter study from China

Single-incision laparoscopic appendectomy versus traditional three-hole laparoscopic appendectomy for acute appendicitis in children by senior pediatric surgeons: a multicenter study from China

Hospitalization Costs for Patients with Acute Appendicitis: An Update Using Real-World Data from a Large Province in China

Single-port vs. three-port for laparoscopic appendectomy

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