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KMID : 0356720100260060388
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Journal of the Korean Society of Coloproctology
2010 Volume.26 No. 6 p.388 ~ p.394
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Application of Single Incision Laparoscopic Surgery for Appendectomies in Patients with Complicated Appendicitis
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Kang Kyung-Chae
Lee Seok-Youn
Kang Dong-Baek
Kim Seung-Ho
Oh Jung-Taek
Choi Duk-Hwa
Park Won-Cheol
Lee Jeong-Kyun
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Abstract
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Purpose: Recently, single incision laparoscopic surgery (SILS) has been studied for its being less invasive surgery and having cosmetic improvement. We investigated the application of SILS for an appendectomy (SILS-A) in cases of complicated appendicitis and compare it with a conventional laparoscopic appendectomy (C-LA).
Methods: This study involved a total of 40 patients who underwent C-LA or SILS-A in patients with complicated appendicitis; 25 patients received a C-LA, and the other 15 patients received a SILS-A. The clinical outcomes and cosmetic results were compared between the groups.
Results: The SILS-A procedures were performed successfully in patients with complicated appendicitis, but 6 patients who underwent SILS-A needed an additional port for dissection and drainage. Clinical outcomes and postoperative complications were similar in both study groups. The SILS-A group showed significantly higher numbers of pain control than the C-LA group, and the one port SLLS-A group showed significantly better cosmetic result than the C-LA group.
Conclusion: SILS-A is technically feasible and safe in patients with complicated appendicitis. However, SILS-A has more postoperative pain than C-LA, and more active pain control should be considered for patients undergoing SILS-A.
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KEYWORD
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Single incision, Laparoscopy, Appendicitis
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