Cargando…

Pain after laparoscopic appendectomy: a comparison of transumbilical single-port and conventional laparoscopic surgery

PURPOSE: Conventional laparoscopic appendectomy is performed using three ports, and single-port appendectomy is an attractive alternative in order to improve cosmesis. The aim of this study was to compare pain after transumbilical single-port laparoscopic appendectomy (SA) with pain after convention...

Descripción completa

Detalles Bibliográficos
Autores principales: Kim, Hyung Ook, Yoo, Chang Hak, Lee, Sung Ryol, Son, Byung Ho, Park, Yong Lai, Shin, Jun Ho, Kim, Hungdai, Han, Won Kon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Surgical Society 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3294111/
https://www.ncbi.nlm.nih.gov/pubmed/22403751
http://dx.doi.org/10.4174/jkss.2012.82.3.172
_version_ 1782225465693437952
author Kim, Hyung Ook
Yoo, Chang Hak
Lee, Sung Ryol
Son, Byung Ho
Park, Yong Lai
Shin, Jun Ho
Kim, Hungdai
Han, Won Kon
author_facet Kim, Hyung Ook
Yoo, Chang Hak
Lee, Sung Ryol
Son, Byung Ho
Park, Yong Lai
Shin, Jun Ho
Kim, Hungdai
Han, Won Kon
author_sort Kim, Hyung Ook
collection PubMed
description PURPOSE: Conventional laparoscopic appendectomy is performed using three ports, and single-port appendectomy is an attractive alternative in order to improve cosmesis. The aim of this study was to compare pain after transumbilical single-port laparoscopic appendectomy (SA) with pain after conventional three-port laparoscopic appendectomy (TA). METHODS: From April to September 2011, 50 consecutive patients underwent laparoscopic appendectomy for simple appendicitis without gangrene or perforation. Patients who had undergone appendectomy with a drainage procedure were excluded. The type of surgery was chosen based on patient preference after written informed consent was obtained. The primary endpoint was postoperative pain evaluated by the visual analogue scale score and postoperative analgesic use. Operative time, recovery of bowel function, and length of hospital stay were secondary outcome measures. RESULTS: SA using a SILS port (Covidien) was performed in 17 patients. The other 33 patients underwent TA. Pain scores in the 24 hours after surgery were higher in patients who underwent SA (P = 0.009). The change in postoperative pain score over time was significantly different between the two groups (P = 0.021). SA patients received more total doses of analgesics (nonsteroidal anti-inflammatory drugs) in the 24 hours following surgery, but the difference was not statistically significant. The median operative time was longer for SA (P < 0.001). CONCLUSION: Laparoscopic surgeons should be concerned about longer operation times and higher immediate postoperative pain scores in patients who undergo SA.
format Online
Article
Text
id pubmed-3294111
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher The Korean Surgical Society
record_format MEDLINE/PubMed
spelling pubmed-32941112012-03-08 Pain after laparoscopic appendectomy: a comparison of transumbilical single-port and conventional laparoscopic surgery Kim, Hyung Ook Yoo, Chang Hak Lee, Sung Ryol Son, Byung Ho Park, Yong Lai Shin, Jun Ho Kim, Hungdai Han, Won Kon J Korean Surg Soc Original Article PURPOSE: Conventional laparoscopic appendectomy is performed using three ports, and single-port appendectomy is an attractive alternative in order to improve cosmesis. The aim of this study was to compare pain after transumbilical single-port laparoscopic appendectomy (SA) with pain after conventional three-port laparoscopic appendectomy (TA). METHODS: From April to September 2011, 50 consecutive patients underwent laparoscopic appendectomy for simple appendicitis without gangrene or perforation. Patients who had undergone appendectomy with a drainage procedure were excluded. The type of surgery was chosen based on patient preference after written informed consent was obtained. The primary endpoint was postoperative pain evaluated by the visual analogue scale score and postoperative analgesic use. Operative time, recovery of bowel function, and length of hospital stay were secondary outcome measures. RESULTS: SA using a SILS port (Covidien) was performed in 17 patients. The other 33 patients underwent TA. Pain scores in the 24 hours after surgery were higher in patients who underwent SA (P = 0.009). The change in postoperative pain score over time was significantly different between the two groups (P = 0.021). SA patients received more total doses of analgesics (nonsteroidal anti-inflammatory drugs) in the 24 hours following surgery, but the difference was not statistically significant. The median operative time was longer for SA (P < 0.001). CONCLUSION: Laparoscopic surgeons should be concerned about longer operation times and higher immediate postoperative pain scores in patients who undergo SA. The Korean Surgical Society 2012-03 2012-02-27 /pmc/articles/PMC3294111/ /pubmed/22403751 http://dx.doi.org/10.4174/jkss.2012.82.3.172 Text en Copyright © 2012, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/3.0 Journal of the Korean Surgical Society is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Hyung Ook
Yoo, Chang Hak
Lee, Sung Ryol
Son, Byung Ho
Park, Yong Lai
Shin, Jun Ho
Kim, Hungdai
Han, Won Kon
Pain after laparoscopic appendectomy: a comparison of transumbilical single-port and conventional laparoscopic surgery
title Pain after laparoscopic appendectomy: a comparison of transumbilical single-port and conventional laparoscopic surgery
title_full Pain after laparoscopic appendectomy: a comparison of transumbilical single-port and conventional laparoscopic surgery
title_fullStr Pain after laparoscopic appendectomy: a comparison of transumbilical single-port and conventional laparoscopic surgery
title_full_unstemmed Pain after laparoscopic appendectomy: a comparison of transumbilical single-port and conventional laparoscopic surgery
title_short Pain after laparoscopic appendectomy: a comparison of transumbilical single-port and conventional laparoscopic surgery
title_sort pain after laparoscopic appendectomy: a comparison of transumbilical single-port and conventional laparoscopic surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3294111/
https://www.ncbi.nlm.nih.gov/pubmed/22403751
http://dx.doi.org/10.4174/jkss.2012.82.3.172
work_keys_str_mv AT kimhyungook painafterlaparoscopicappendectomyacomparisonoftransumbilicalsingleportandconventionallaparoscopicsurgery
AT yoochanghak painafterlaparoscopicappendectomyacomparisonoftransumbilicalsingleportandconventionallaparoscopicsurgery
AT leesungryol painafterlaparoscopicappendectomyacomparisonoftransumbilicalsingleportandconventionallaparoscopicsurgery
AT sonbyungho painafterlaparoscopicappendectomyacomparisonoftransumbilicalsingleportandconventionallaparoscopicsurgery
AT parkyonglai painafterlaparoscopicappendectomyacomparisonoftransumbilicalsingleportandconventionallaparoscopicsurgery
AT shinjunho painafterlaparoscopicappendectomyacomparisonoftransumbilicalsingleportandconventionallaparoscopicsurgery
AT kimhungdai painafterlaparoscopicappendectomyacomparisonoftransumbilicalsingleportandconventionallaparoscopicsurgery
AT hanwonkon painafterlaparoscopicappendectomyacomparisonoftransumbilicalsingleportandconventionallaparoscopicsurgery