A comparison of transumbilical single-port laparoscopic appendectomy and conventional three-port laparoscopic appendectomy: from the diagnosis to the hospital cost / 대한외과학회지
Journal of the Korean Surgical Society
;
: 68-74, 2013.
Article
in English
| WPRIM
| ID: wpr-72879
ABSTRACT
PURPOSE:
Recently many cases of appendectomy have been conducted by single-incision laparoscopic technique. The aim of this study is to figure out the benefits of transumbilical single-port laparoscopic appendectomy (TULA) compared with conventional three-port laparoscopic appendectomy (CTLA).METHODS:
From 2010 to 2012, 89 patients who were diagnosed as acute appendicitis and then underwent laparoscopic appendectomy a single surgeon were enrolled in this study and with their medical records were reviewed retrospectively. Cases of complicated appendicitis confirmed on imaging tools and patients over 3 points on the American Society of Anesthesia score were excluded.RESULTS:
Among the total of 89 patients, there were 51 patients in the TULA group and 38 patients in the CTLA group. The visual analogue scale (VAS) of postoperative day (POD) #1 was higher in the TULA group than in the CTLA group (P = 0.048). The operative time and other variables had no statistical significances (P > 0.05).CONCLUSION:
Despite the insufficiency of instruments and the difficulty of handling, TULA was not worse in operative time, VAS after POD #2, and the total operative cost than CTLA. And, if there are no disadvantages of TULA, TULA may be suitable in substituting three-port laparoscopic surgery and could be considered as one field of natural orifice transluminal endoscopic surgery with the improvement and development of the instruments and revised studies.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Appendectomy
/
Appendicitis
/
Medical Records
/
Retrospective Studies
/
Laparoscopy
/
Hospital Costs
/
Natural Orifice Endoscopic Surgery
/
Operative Time
/
Handling, Psychological
/
Anesthesia
Type of study:
Diagnostic study
/
Health economic evaluation
/
Observational study
Limits:
Humans
Language:
English
Journal:
Journal of the Korean Surgical Society
Year:
2013
Type:
Article
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