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Feasibility of single-incision laparoscopic surgery for appendicitis in abnormal anatomical locations: A single surgeon's initial experience

BACKGROUND: Single-incision laparoscopic surgery is considered as a more technically demanding procedure than the standard laparoscopic surgery. Based on an initial and early experience, single-incision laparoscopic appendectomy (LA) was found to be technically advantageous for dealing with appendic...

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Autor principal: Zachariah, Sanoop K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3630710/
https://www.ncbi.nlm.nih.gov/pubmed/23626414
http://dx.doi.org/10.4103/0972-9941.107128
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author Zachariah, Sanoop K
author_facet Zachariah, Sanoop K
author_sort Zachariah, Sanoop K
collection PubMed
description BACKGROUND: Single-incision laparoscopic surgery is considered as a more technically demanding procedure than the standard laparoscopic surgery. Based on an initial and early experience, single-incision laparoscopic appendectomy (LA) was found to be technically advantageous for dealing with appendicitis in unusual anatomical locations. This study aims to highlight the technical advantages of single-incision laparoscopic surgery in dealing with the abnormally located appendixes and furthermore report a case of acute appendicitis occurring in a sub-gastric position, which is probably the first such case to be reported in English literature. MATERIALS AND METHODS: A retrospective analysis of the first 10 cases of single-incision LA which were performed by a single surgeon is presented here. RESULTS: There were seven females and three males. The mean age of the patients was 30.6 (range 18–52) years, mean BMI was 22.7 (range 17–28) kg/m(2) and the mean operative time was 85.5 (range 45–150) min. The mean postoperative stay was 3.6 (range 1–7) days. The commonest position of the appendix was retro-caecal (50%) followed by pelvic (30%). In three cases the appendix was found to be in abnormal locations namely sub-hepatic, sub-gastric and deep pelvic or para-vesical or para-rectal. All these cases could be managed with this technique without any conversions CONCLUSION: Single-incision laparoscopic surgery appears to be a feasible and safe technique for dealing with appendicitis in rare anatomical locations. Appendectomy may be a suitable procedure for the initial training in single-incision laparoscopic surgery.
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spelling pubmed-36307102013-04-26 Feasibility of single-incision laparoscopic surgery for appendicitis in abnormal anatomical locations: A single surgeon's initial experience Zachariah, Sanoop K J Minim Access Surg Original Article BACKGROUND: Single-incision laparoscopic surgery is considered as a more technically demanding procedure than the standard laparoscopic surgery. Based on an initial and early experience, single-incision laparoscopic appendectomy (LA) was found to be technically advantageous for dealing with appendicitis in unusual anatomical locations. This study aims to highlight the technical advantages of single-incision laparoscopic surgery in dealing with the abnormally located appendixes and furthermore report a case of acute appendicitis occurring in a sub-gastric position, which is probably the first such case to be reported in English literature. MATERIALS AND METHODS: A retrospective analysis of the first 10 cases of single-incision LA which were performed by a single surgeon is presented here. RESULTS: There were seven females and three males. The mean age of the patients was 30.6 (range 18–52) years, mean BMI was 22.7 (range 17–28) kg/m(2) and the mean operative time was 85.5 (range 45–150) min. The mean postoperative stay was 3.6 (range 1–7) days. The commonest position of the appendix was retro-caecal (50%) followed by pelvic (30%). In three cases the appendix was found to be in abnormal locations namely sub-hepatic, sub-gastric and deep pelvic or para-vesical or para-rectal. All these cases could be managed with this technique without any conversions CONCLUSION: Single-incision laparoscopic surgery appears to be a feasible and safe technique for dealing with appendicitis in rare anatomical locations. Appendectomy may be a suitable procedure for the initial training in single-incision laparoscopic surgery. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3630710/ /pubmed/23626414 http://dx.doi.org/10.4103/0972-9941.107128 Text en Copyright: © Journal of Minimal Access Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Zachariah, Sanoop K
Feasibility of single-incision laparoscopic surgery for appendicitis in abnormal anatomical locations: A single surgeon's initial experience
title Feasibility of single-incision laparoscopic surgery for appendicitis in abnormal anatomical locations: A single surgeon's initial experience
title_full Feasibility of single-incision laparoscopic surgery for appendicitis in abnormal anatomical locations: A single surgeon's initial experience
title_fullStr Feasibility of single-incision laparoscopic surgery for appendicitis in abnormal anatomical locations: A single surgeon's initial experience
title_full_unstemmed Feasibility of single-incision laparoscopic surgery for appendicitis in abnormal anatomical locations: A single surgeon's initial experience
title_short Feasibility of single-incision laparoscopic surgery for appendicitis in abnormal anatomical locations: A single surgeon's initial experience
title_sort feasibility of single-incision laparoscopic surgery for appendicitis in abnormal anatomical locations: a single surgeon's initial experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3630710/
https://www.ncbi.nlm.nih.gov/pubmed/23626414
http://dx.doi.org/10.4103/0972-9941.107128
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