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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
- A comparison of transumbilical single-port laparoscopic appendectomy and conventional three-port laparoscopic appendectomy: From the diagnosis to the hospital cost
- Baik S.M.; Hong K.S.; Kim Y.I.
- Ewha Authors
- 김용일; 홍경숙
- SCOPUS Author ID
- 김용일; 홍경숙
- Issue Date
- Journal Title
- Journal of the Korean Surgical Society
- Journal of the Korean Surgical Society vol. 85, no. 2, pp. 68 - 74
- SCIE; SCOPUS
- Document Type
- 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.
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