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KMID : 0978820110140020074
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2011 Volume.14 No. 2 p.74 ~ p.79
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Gasless Laparoscopic Assisted Transumbilical Appendectomy
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Jung Sung-Woo
Moon Hyoun-Jong
Lee Jong-In
Lee Jong-Hoon
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Abstract
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Purpose: This study evaluated the safety and feasibility of gasless laparoscopic assisted transumbilical appendectomy (GLATUA).
Methods: Data for 62 GLATUA and 84 laparoscopic appendectomies (LA) for uncomplicated appendicitis, which had been performed over a 12 month period in a single institution, were compared retrospectively. The GLATUAs were carried out through an umbilical incision. The abdominal wall was retracted upward using an "L"-shaped retractor and the inflamed appendix was found by gasless laparoscopic vision. A transumbilical extracorporeal appendectomy was then performed. The LAs were performed using a three-port system.
Results: The GLATUA group had a shorter mean operativetime (44.1±22.1 vs. 51.5±24.7 min, p=0.06), mean time for resuming a soft diet (29.0±9.2 vs. 41.3±20.7 hrs, p＜0.01) and hospital stay (3.0±0.9 vs. 3.6±1.7, p＜0.01) than the LA group. There was no significant difference in complication rates (6.5% vs. 3.6%, p=0.44). The mean medical costs of the GLATUA group were 66.7% of the LA group.
Conclusion: GLATUA is a safe, feasible and more cost- effective alternative technique for surgery in uncomplicated acute appendicitis than LA.
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KEYWORD
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Appendectomy, Transumbilical, Gasless laparoscopic surgery
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