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KMID : 0371320100780040213
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Journal of the Korean Surgical Society
2010 Volume.78 No. 4 p.213 ~ p.218
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Laparoscopic vs Transumbilical Single-Port Laparoscopic Appendectomy; Results of Prospective Randomized Trial
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Park Jun-Ho
Hyun Kee-Hoon
Park Chan-Heun
Choi Su-Yun
Choi Won-Hyuk
Kim Doo-Jin
Lee Samuel
Kim Joo-Seop
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Abstract
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Purpose: Conventional three-port laparoscopic appendectomy (LA) is more commonly performed than transumbilical single port laparoscopic appendectomy (TUSPLA). In this report, we performed a prospective randomized study comparing the outcomes of LA and TUSPLA.
Methods: Between April 14, 2009 and June 10, 2009, 40 patients who required laparoscopic appendectomies were randomly selected to receive either a TUSPLA or a LA. None of these patients had perforation or abscess. Twenty of the patients received a LA and the other 20 received a TUSPLA. The clinical outcomes and visual analog pain scores (VAS) were compared between the groups.
Results: The TUSPLA procedures were performed successfully in every indicated patient. Clinical outcomes were similar in both study groups. The TUSPLA group showed a significantly higher VAS score 24 hours postoperatively than the LA group.
Conclusion: Compared with LA, TUSPLA was technically feasible and safe in patients with non-complicated appendicitis. However, the patients in the TUSPLA group reported more postoperative pain than those in the LA group.
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KEYWORD
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Transumbilical single-port laparoscopic appendectomy (TUSPLA), Natural orifice trans-umbilical surgery (NOTUS)
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