Single-incision versus conventional laparoscopic appendectomy: A case-match study

BACKGROUND: Three-port laparoscopic appendectomy is considered standard in many countries for the surgical treatment of acute appendicitis. Single-incision laparoscopic technique has been recently introduced and is supposed to minimize the aggression induced by surgery. Regarding appendectomy, compa...

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Autores principales: Joliat, Gaëtan-Romain, Uldry, Emilie, Demartines, Nicolas, Schäfer, Markus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4607210/
https://www.ncbi.nlm.nih.gov/pubmed/26770712
http://dx.doi.org/10.1177/2050312114524195
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author Joliat, Gaëtan-Romain
Uldry, Emilie
Demartines, Nicolas
Schäfer, Markus
author_facet Joliat, Gaëtan-Romain
Uldry, Emilie
Demartines, Nicolas
Schäfer, Markus
author_sort Joliat, Gaëtan-Romain
collection PubMed
description BACKGROUND: Three-port laparoscopic appendectomy is considered standard in many countries for the surgical treatment of acute appendicitis. Single-incision laparoscopic technique has been recently introduced and is supposed to minimize the aggression induced by surgery. Regarding appendectomy, comparison with standard laparoscopy, benefits and drawbacks of this novel technique remain to be evaluated. The goal of this study was to assess single-incision laparoscopic appendectomy compared to conventional laparoscopic appendectomy in terms of operation time, length of hospital stay, complication rate, and postoperative antibiotherapy rate. METHODS: From February 2011 to December 2011, single-incision laparoscopic appendectomy was proposed to patients admitted to the emergency room of the University Hospital of Lausanne (CHUV, Lausanne, Switzerland), diagnosed with uncomplicated acute appendicitis. Preoperative patients’ information, technical difficulties during the operation, and postoperative follow-ups were recorded. Every patient who underwent single-incision laparoscopic appendectomy (n = 20) was matched 1:3 conventional laparoscopic appendectomy (n = 60), controlling for age, gender, body mass index, American Society of Anesthesiologists score, and histopathological findings. RESULTS: No statistically significant differences for median operation time, length of hospital stay, complication rate, and need for postoperative antibiotherapy were found. In 5 out of 20 single-incision laparoscopic appendectomy patients the Endoloop(®) Ligature was judged difficult to put in place. CONCLUSION: This study suggests that single-incision laparoscopic appendectomy is a feasible and effective operative technique for uncomplicated acute appendicitis.
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spelling pubmed-46072102016-01-14 Single-incision versus conventional laparoscopic appendectomy: A case-match study Joliat, Gaëtan-Romain Uldry, Emilie Demartines, Nicolas Schäfer, Markus SAGE Open Med Original Article BACKGROUND: Three-port laparoscopic appendectomy is considered standard in many countries for the surgical treatment of acute appendicitis. Single-incision laparoscopic technique has been recently introduced and is supposed to minimize the aggression induced by surgery. Regarding appendectomy, comparison with standard laparoscopy, benefits and drawbacks of this novel technique remain to be evaluated. The goal of this study was to assess single-incision laparoscopic appendectomy compared to conventional laparoscopic appendectomy in terms of operation time, length of hospital stay, complication rate, and postoperative antibiotherapy rate. METHODS: From February 2011 to December 2011, single-incision laparoscopic appendectomy was proposed to patients admitted to the emergency room of the University Hospital of Lausanne (CHUV, Lausanne, Switzerland), diagnosed with uncomplicated acute appendicitis. Preoperative patients’ information, technical difficulties during the operation, and postoperative follow-ups were recorded. Every patient who underwent single-incision laparoscopic appendectomy (n = 20) was matched 1:3 conventional laparoscopic appendectomy (n = 60), controlling for age, gender, body mass index, American Society of Anesthesiologists score, and histopathological findings. RESULTS: No statistically significant differences for median operation time, length of hospital stay, complication rate, and need for postoperative antibiotherapy were found. In 5 out of 20 single-incision laparoscopic appendectomy patients the Endoloop(®) Ligature was judged difficult to put in place. CONCLUSION: This study suggests that single-incision laparoscopic appendectomy is a feasible and effective operative technique for uncomplicated acute appendicitis. SAGE Publications 2014-03-03 /pmc/articles/PMC4607210/ /pubmed/26770712 http://dx.doi.org/10.1177/2050312114524195 Text en © The Author(s) 2014 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(http://www.uk.sagepub.com/aboutus/openaccess.htm).
spellingShingle Original Article
Joliat, Gaëtan-Romain
Uldry, Emilie
Demartines, Nicolas
Schäfer, Markus
Single-incision versus conventional laparoscopic appendectomy: A case-match study
title Single-incision versus conventional laparoscopic appendectomy: A case-match study
title_full Single-incision versus conventional laparoscopic appendectomy: A case-match study
title_fullStr Single-incision versus conventional laparoscopic appendectomy: A case-match study
title_full_unstemmed Single-incision versus conventional laparoscopic appendectomy: A case-match study
title_short Single-incision versus conventional laparoscopic appendectomy: A case-match study
title_sort single-incision versus conventional laparoscopic appendectomy: a case-match study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4607210/
https://www.ncbi.nlm.nih.gov/pubmed/26770712
http://dx.doi.org/10.1177/2050312114524195
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