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
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Appendicectomie
/
Appendicite
/
Dossiers médicaux
/
Études rétrospectives
/
Laparoscopie
/
Coûts hospitaliers
/
Chirurgie endoscopique par orifice naturel
/
Durée opératoire
/
/
Anesthésie
Type d'étude:
Etude diagnostique
/
Évaluation en économique de la santé
/
Étude observationnelle
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Journal of the Korean Surgical Society
Année:
2013
Type:
Article
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