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Initial Experience of the Feasibility of Single-Incision Laparoscopic Appendectomy in Different Clinical Conditions

Introduction. Single-incision laparoscopic surgery (SILS) is a new technique developed for performing operations without a visible scar. Preliminary studies have reported the use of the technique mainly in cholecystectomy and appendectomy. We evaluated the feasibility of the technique in various app...

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Autores principales: Kössi, Jyrki, Luostarinen, Markku
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2853855/
https://www.ncbi.nlm.nih.gov/pubmed/20396672
http://dx.doi.org/10.1155/2010/240260
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author Kössi, Jyrki
Luostarinen, Markku
author_facet Kössi, Jyrki
Luostarinen, Markku
author_sort Kössi, Jyrki
collection PubMed
description Introduction. Single-incision laparoscopic surgery (SILS) is a new technique developed for performing operations without a visible scar. Preliminary studies have reported the use of the technique mainly in cholecystectomy and appendectomy. We evaluated the feasibility of the technique in various appendicitis conditions including children, fertile women and obese patients. Materials and Methods. SILS technique was used in a random sample of patients hospitalised for suspected appendicitis. The ordinary diagnostic laparoscopy was performed and the appendix was removed if needed. The ligation of appendix was performed by thread loop, absorbable clip or endoscopic stapler. The details regarding the recovery of patients were collected prospectively. Results. Ten SILS procedures were performed without conversions or complications. The patient series included uncomplicated and complicated appendicitis patients. The mean age of the patients was 37 years (range 13–63), mean BMI was 26 (range 18–31), mean operative time was 40 minutes (range 18–31), and mean postoperative stay was 2 days (range 1–5). Conclusions. SILS technique is feasible for obese patients, uncomplicated and complicated appendicitis as well as for exploratory laparoscopy. Most common methods to ligate appendix are feasible with SILS technique. The true benefit of the technique should be assessed by randomised controlled trials.
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spelling pubmed-28538552010-04-15 Initial Experience of the Feasibility of Single-Incision Laparoscopic Appendectomy in Different Clinical Conditions Kössi, Jyrki Luostarinen, Markku Diagn Ther Endosc Research Article Introduction. Single-incision laparoscopic surgery (SILS) is a new technique developed for performing operations without a visible scar. Preliminary studies have reported the use of the technique mainly in cholecystectomy and appendectomy. We evaluated the feasibility of the technique in various appendicitis conditions including children, fertile women and obese patients. Materials and Methods. SILS technique was used in a random sample of patients hospitalised for suspected appendicitis. The ordinary diagnostic laparoscopy was performed and the appendix was removed if needed. The ligation of appendix was performed by thread loop, absorbable clip or endoscopic stapler. The details regarding the recovery of patients were collected prospectively. Results. Ten SILS procedures were performed without conversions or complications. The patient series included uncomplicated and complicated appendicitis patients. The mean age of the patients was 37 years (range 13–63), mean BMI was 26 (range 18–31), mean operative time was 40 minutes (range 18–31), and mean postoperative stay was 2 days (range 1–5). Conclusions. SILS technique is feasible for obese patients, uncomplicated and complicated appendicitis as well as for exploratory laparoscopy. Most common methods to ligate appendix are feasible with SILS technique. The true benefit of the technique should be assessed by randomised controlled trials. Hindawi Publishing Corporation 2010 2010-04-13 /pmc/articles/PMC2853855/ /pubmed/20396672 http://dx.doi.org/10.1155/2010/240260 Text en Copyright © 2010 J. Kössi and M. Luostarinen. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Kössi, Jyrki
Luostarinen, Markku
Initial Experience of the Feasibility of Single-Incision Laparoscopic Appendectomy in Different Clinical Conditions
title Initial Experience of the Feasibility of Single-Incision Laparoscopic Appendectomy in Different Clinical Conditions
title_full Initial Experience of the Feasibility of Single-Incision Laparoscopic Appendectomy in Different Clinical Conditions
title_fullStr Initial Experience of the Feasibility of Single-Incision Laparoscopic Appendectomy in Different Clinical Conditions
title_full_unstemmed Initial Experience of the Feasibility of Single-Incision Laparoscopic Appendectomy in Different Clinical Conditions
title_short Initial Experience of the Feasibility of Single-Incision Laparoscopic Appendectomy in Different Clinical Conditions
title_sort initial experience of the feasibility of single-incision laparoscopic appendectomy in different clinical conditions
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2853855/
https://www.ncbi.nlm.nih.gov/pubmed/20396672
http://dx.doi.org/10.1155/2010/240260
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