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A comparison of transumbilical single-port laparoscopic appendectomy and conventional three-port laparoscopic appendectomy: From the diagnosis to the hospital cost

Title
A comparison of transumbilical single-port laparoscopic appendectomy and conventional three-port laparoscopic appendectomy: From the diagnosis to the hospital cost
Authors
Baik S.M.Hong K.S.Kim Y.I.
Ewha Authors
김용일홍경숙
SCOPUS Author ID
김용일scopus; 홍경숙scopus
Issue Date
2013
Journal Title
Journal of the Korean Surgical Society
ISSN
1226-0053JCR Link
Citation
vol. 85, no. 2, pp. 68 - 74
Indexed
SCIE; SCOPUS WOS scopus
Abstract
Purpose: Recently many cases of appendectomy have been conducted by singleincision 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. Copyright © 2013, the Korean Surgical Society.
DOI
10.4174/jkss.2013.85.2.68
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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