Transumbilical laparoscopic appendectomy performed by residents is safe and feasible

Endo, Kenji; Kujirai, Dai; Maeda, Hinako; Ishida, Takashi; Terauchi, Toshiaki; Kimata, Masaru; Shinozaki, Hiroharu; Lefor, Alan Kawarai; Sata, Naohiro

doi:10.1111/ases.12303

Cited by 9 publications

(7 citation statements)

References 16 publications

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“…Still another study compared the outcomes of SILA performed by residents and attending groups; the estimated amount of bleeding was significantly higher in the resident group and the operating time tended to be longer in the resident groups. 17 The present results vary somewhat from these prior studies, which may reflect the low BMI and simple appendicitis features of the SILA group. Furthermore, the resident who performed SILA was a third-year resident with experience of over 100 cases of MLA.…”

Section: Discussioncontrasting

confidence: 99%

Initial Experience with Single Incision Laparoscopic Appendectomy by Surgical Resident

Choi

2018

J Minim Invasive Surg

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Purpose: Laparoscopic appendectomy (LA) is a popular procedure for acute appendicitis. Its minimally invasive nature has made LA a commonly performed surgical technique for surgical residents. However, single incision laparoscopic surgery (SILS) poses a challenge to inexperienced surgical residents. We described our initial experience in teaching SILS for appendectomy in our medical center. Methods: Twenty nine cases of SILA were performed by single surgical resident and 110 cases of LA were performed by four surgical residents and five board-certified surgeons. Data were reviewed retrospectively. Results: The mean SILA and multi-port laparoscopic appendectomy (MLA) operative time was 44.5±14 min (range 25~85 min) and 74.8±26 min (range 20~125 min), respectively. The shorter time for SILA was significant (p<0.05). Postoperative hospital stay was 3.3±1.6 days (range 2~6 days) following SILA and 4.0±2.9 days (range 2~12 days) following MLA (p<0.05). Three cases of wound infection developed following SILA. Complications in the MLA patients included one cases each of operative bladder injury and postoperative ileus. Conclusion: SILA is a considerable training method for laparoscopic surgery for a surgical resident learning SILS.

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Section: Discussioncontrasting

confidence: 99%

Initial Experience with Single Incision Laparoscopic Appendectomy by Surgical Resident

Choi

2018

J Minim Invasive Surg

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“…Transumbilical laparoscopy-assisted appendectomy is confirmed to be safe. It is part of a surgical training (39). Feasibility of single-incision laparoscopic appendectomy was performed with technical modifications.…”

Section: Resultsmentioning

confidence: 99%

Single-incision laparoscopy surgery: a systematic review

Far¹,

Miraj²

2016

Electron physician

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BackgroundLaparoscopic surgery is a modern surgical technique in which operations are performed far from their location through small incisions elsewhere in the body.ObjectiveThis systematic review is aimed to overview single-incision laparoscopy surgery.MethodsThis systematic review was carried out by searching studies in PubMed, Medline, Web of Science, and IranMedex databases. The initial search strategy identified about 87 references. In this study, 54 studies were accepted for further screening and met all our inclusion criteria [in English, full text, therapeutic effects of single-incision laparoscopy surgery and dated mainly from the year 1990 to 2016]. The search terms were “single-incision,” “surgery,” and “laparoscopy.”ResultsSingle-incision laparoscopy surgery is widely used for surgical operations in cholecystectomy, sleeve gastrectomy, cholecystoduodenostomy, hepatobiliary disease, colon cancer, obesity, appendectomy, liver surgery, rectosigmoid cancer, vaginal hysterectomy, vaginoplasty, colorectal lung metastases, pyloroplasty, endoscopic surgery, hernia repair, nephrectomy, rectal cancer, colectomy and uterus-preserving repair, bile duct exploration, ileo-ileal resection, lymphadenectomy, incarcerated inguinal hernia, anastomosis, congenital anomaly, colectomy for cancer.ConclusionBased on the findings, single-incision laparoscopy surgery is a scarless surgery with minimal access. Although it possesses lots of benefits, including less incisional pain and scars, cosmesis, and the ability to convert to standard multiport laparoscopic surgery, it has some disadvantages, for example, less freedom of movement, fewer number of ports that can be used, and the proximity of the instruments to each other during the operation.

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“…In addition, some authors report a prolonged duration of operation as compared to conventional laparoscopy [12,15]. Transumbilical laparoscopic-assisted appendectomy has been shown to be simple [4][5][6], quick [3,17,19] and cost-effective [8,17,19]. One author has documented an eightfold decrease in operative cost using this single site approach over standard laparoscopy [19].…”

Section: Discussionmentioning

confidence: 99%

Update on Transumbilical Single-Incision Laparoscopic Assisted Appendectomy (TULAA) – Which Children Benefit and What are the Complications?

et al. 2018

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Transumbilical laparoscopic appendectomy performed by residents is safe and feasible

Abstract: Transumbilical laparoscopy-assisted appendectomy performed by residents is feasible and safe. It is an acceptable as a part of routine surgical training.

Cited by 9 publications

References 16 publications

Initial Experience with Single Incision Laparoscopic Appendectomy by Surgical Resident

Initial Experience with Single Incision Laparoscopic Appendectomy by Surgical Resident

Single-incision laparoscopy surgery: a systematic review

Update on Transumbilical Single-Incision Laparoscopic Assisted Appendectomy (TULAA) – Which Children Benefit and What are the Complications?

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