Single incision laparoscopic appendicectomy versus conventional three-port laparoscopic appendicectomy: A systematic review and meta-analysis

Aly, Omar; Black, Douglas; Rehman, Haroon; Ahmed, Ibrar

doi:10.1016/j.ijsu.2016.09.087

Cited by 65 publications

(38 citation statements)

References 14 publications

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“…Our results were compared to those of conventional laparoscopic approaches, and the mean operation time and postoperative mortality were also comparable [21,22]. When these results were combined with the results of other studies, it is evident that laparoscopic ileostomy using a single port is as safe as the conventional multiport procedure [5,6,23].…”

Section: Discussionmentioning

confidence: 54%

“…Therefore, from a cosmetic perspective, the single-port laparoscopic procedure is superior to conventional multiport laparoscopic procedures. The smaller number of wounds also led to decreased pain [6,25].…”

Section: Discussionmentioning

confidence: 99%

“…Because the single-port laparoscopic technique uses a single access point, it is expected to have advantage over conventional laparoscopic techniques in terms of postoperative complications, wound cosmesis, and morbidity [5][6][7]. To date, multiple studies have shown that the single-port laparoscopic technique is safe and feasible and comparable to the conventional technique [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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Safety and Efficacy of Single-Port Laparoscopic Ileostomy in Palliative Settings

Kang

Cho²,

et al. 2020

Ann Coloproctol

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Original ArticleAnn Coloproctol 2020;36(1):17-21 https://doi.org/10. 3393/ac.2019.04.25 Purpose: Single-port laparoscopic techniques can be optimized with confined incisions. This approach has an intraoperative advantage of excellent visualization of the correct intestinal segment for exteriorization, along with direct visual control of the extraction to avoid twisting. However, only a few studies have verified the efficacy of the technique. Thus, this study assessed the results of single-port laparoscopic stoma creation for fecal diversion, specifically focusing on feasibility, safety, and efficacy. Methods: Patients who underwent single-incision enterostomy performed by a single surgeon were included. Data on demographics, indications for and chosen procedure, and operation results were retrospectively collected and analyzed. Results: Between April 2015 and January 2018, a total of 13 patients (8 males, 5 females) with a mean age of 57.7 years (range, 41-83 years) underwent single-port ileostomy creation. The most common reason for diversion was palliative ileostomy for colon obstruction or fistula from peritoneal malignancy (n = 12), followed by colonic fistula with necrotizing pancreatitis (n = 1). There were no cases of conversion to open or multiport laparoscopic surgery. The mean operative time was 54 minutes (range, 37-118 minutes), and the median length of hospital stay was 8 days (range, 2-211 days). A postoperative complication, aspiration pneumonia, was documented in 1 patient and treated conservatively. The mean duration of bowel movement was 0.7 days (range, 0-4 days). All stomas had good function, and there was no 30-day mortality. Conclusion: Single-port laparoscopic ileostomy in patients with a palliative setting could be a safe and feasible option for fecal diversion.

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Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Safety and Efficacy of Single-Port Laparoscopic Ileostomy in Palliative Settings

Kang

Cho²,

et al. 2020

Ann Coloproctol

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“…C-SILA is associated with several ergonomic challenges when compared with standard multiport laparoscopy, owing to the handling of straight instruments in parallel with a camera. 13 Single-incision access decreases the range of movement for the surgeon and scope assistant, and this has been shown to be associated with increased levels of surgeon fatigue and frustration ( Fig. 1A).…”

Section: Introductionmentioning

confidence: 99%

Solo Single-Incision Laparoscopic Appendectomy versus Conventional Single-Incision Laparoscopic Appendectomy: A Retrospective, Single Center Study

Koo

Ahn

2018

J Minim Invasive Surg

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Purpose: Single incision laparoscopic appendectomy (SILA) attempts to advance laparoscopic appendectomy with the aim of quicker recovery, less pain, a smaller scar, and better patient satisfaction, and it might offer better outcomes than conventional laparoscopic appendectomy. However, conventional SILA (C-SILA) is not widely practiced. C-SILA is associated with several ergonomic challenges when compared with standard multiport laparoscopy owing to the handling of straight instruments in parallel with a camera. The aim of this retrospective study was to review and compare the outcomes of SILA performed by residents in solo approach and a conventional non-solo approach in order to determine whether S-SILA can be performed effectively by residents. Methods:Between March 2016 and February 2018, at SNUBH, 87 patients underwent SILA performed by residents, and of these patients, 36 underwent S-SILA and 51 underwent C-SILA. Results:Patient characteristics and severities of appendicitis were different between the S-SILA and C-SILA groups. Although cases were more complicated in the S-SILA group, the surgical outcomes were similar between the S-SILA and C-SILA groups. These findings suggest that S-SILA can be a reasonable alternative to C-SILA for surgeons who can competently perform SILA. Conclusion:The surgical outcomes were similar between S-SILA and C-SILA. Moreover, S-SILA could reduce the number of required personnel, resulting in a reduction in healthcare cost. S-SILA can be considered a reasonable alternative to C-SILA for surgeons who can competently perform SILA.

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“…Comparing with conventional laparoscopy, single-incision laparoscopic surgery has shown lower pain scores and a shorter hospital stay(32,33). SPLS has achieved an effective and safe therapeutic effect on both benign disease and cancer(34)(35)(36)(37) and reduce the risk of organ injury, hemorrhage, and postoperative adhesions(38,39). Proponents argued that single-incision laparoscopic surgery will supersede conventional multiport laparoscopy by overcome the shortcoming of conventional multiport laparoscopy, in the same way that laparoscopic surgery superseded the open alternative.…”

mentioning

confidence: 99%

A Novel Handheld Bimanual Surgical Robot for Single-Port Laparoscopic Surgery

Feng

Dong

et al. 2020

Preprint

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Background: single-port laparoscopic surgery is a hotspot of minimally invasive surgery, but its promotion is limited because of operational triangulation and instrument conflict. Robot technologies can cleverly solve this dilemma. But most of the surgery robots need high cost and long time to setup and mainly for complex surgery currently. There is no portable single-port laparoscopic robotic surgical instruments suitable for simple abdominal surgery. Method: This paper presents a handheld single-port laparoscopic surgical robot. It consists of two manipulate arms, both of the arms have 2 degrees of freedom, and two more degrees of freedom can be applied by handheld. The left arm has the function of pulling tissue, while the right arm is equipped with a laser fiber, which can be used for tissue cutting and hemostasis with a 980nm diode laser. Kinematics analysis, dynamic simulation, modal analysis and vitro simulation experiments were conducted to verify the feasibility for the handheld single-port laparoscopic robot. Result: The bimanual surgical robot can provide enough workspace, the gripper and laser head have stable working ability, and can successfully complete the fenestration and drainage of hepatic cyst. Conclusion: This bimanual surgical robot has the potential to become a surgical instrument for simple intraperitoneal surgery. It can provide a small, portable and inexpensive surgical robot system.

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Single incision laparoscopic appendicectomy versus conventional three-port laparoscopic appendicectomy: A systematic review and meta-analysis

Abstract: SILA is comparable to CLA in terms of complications, post-operative pain and recovery. Therefore, SILA could be a viable option in the hands of an experienced surgeons and for patients' groups who place great value on the final cosmetic outcome.

Cited by 65 publications

References 14 publications

Safety and Efficacy of Single-Port Laparoscopic Ileostomy in Palliative Settings

Safety and Efficacy of Single-Port Laparoscopic Ileostomy in Palliative Settings

Solo Single-Incision Laparoscopic Appendectomy versus Conventional Single-Incision Laparoscopic Appendectomy: A Retrospective, Single Center Study

A Novel Handheld Bimanual Surgical Robot for Single-Port Laparoscopic Surgery

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Single incision laparoscopic appendicectomy versus conventional three-port laparoscopic appendicectomy: A systematic review and meta-analysis

Abstract: SILA is comparable to CLA in terms of complications, post-operative pain and recovery. Therefore, SILA could be a viable option in the hands of an experienced surgeons and for patients' groups who place great value on the final cosmetic outcome.

Cited by 65 publications

References 14 publications

Safety and Efficacy of Single-Port Laparoscopic Ileostomy in Palliative Settings

Safety and Efficacy of Single-Port Laparoscopic Ileostomy in Palliative Settings

Solo Single-Incision Laparoscopic Appendectomy versus Conventional Single-Incision Laparoscopic Appendectomy: A Retrospective, Single Center Study

A Novel Handheld Bimanual&nbsp;Surgical Robot for&nbsp;Single-Port Laparoscopic Surgery

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A Novel Handheld Bimanual Surgical Robot for Single-Port Laparoscopic Surgery