Initial Experience with Single Incision Laparoscopic Appendectomy by Surgical Resident
Journal of Minimally Invasive Surgery
;
: 65-69, 2018.
Article
in English
| WPRIM
| ID: wpr-714796
ABSTRACT
PURPOSE:
Laparoscopic appendectomy (LA) is a popular procedure for acute appendicitis. Its minimally invasive nature has made LA a commonly performed surgical technique for surgical residents. However, single incision laparoscopic surgery (SILS) poses a challenge to inexperienced surgical residents. We described our initial experience in teaching SILS for appendectomy in our medical center.METHODS:
Twenty nine cases of SILA were performed by single surgical resident and 110 cases of LA were performed by four surgical residents and five board-certified surgeons. Data were reviewed retrospectively.RESULTS:
The mean SILA and multi-port laparoscopic appendectomy (MLA) operative time was 44.5±14 min (range 25~85 min) and 74.8±26 min (range 20~125 min), respectively. The shorter time for SILA was significant (p<0.05). Postoperative hospital stay was 3.3±1.6 days (range 2~6 days) following SILA and 4.0±2.9 days (range 2~12 days) following MLA (p<0.05). Three cases of wound infection developed following SILA. Complications in the MLA patients included one cases each of operative bladder injury and postoperative ileus.CONCLUSION:
SILA is a considerable training method for laparoscopic surgery for a surgical resident learning SILS.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Appendectomy
/
Appendicitis
/
Wound Infection
/
Urinary Bladder
/
Retrospective Studies
/
Laparoscopy
/
Ileus
/
Operative Time
/
Surgeons
/
Learning
Type of study:
Observational study
Limits:
Humans
Language:
English
Journal:
Journal of Minimally Invasive Surgery
Year:
2018
Type:
Article
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