Two-port laparoscopic appendectomy assisted with needle grasper comparison with conventional laparoscopic appendectomy

Turgut Donmez; Adnan Hut; Huseyin Avaroglu; Sinan Uzman; Dogan Yildirim; Sina Ferahman; Erdinc Cekic

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저자정보: Turgut Donmez (Lutfiye Nuri Burat State Hospital) Adnan Hut (Lutfiye Nuri Burat State Hospital) Huseyin Avaroglu (Haseki Training and Research Hospital) Sinan Uzman (Haseki Training and Research Hospital) Dogan Yildirim (Lutfiye Nuri Burat State Hospital) Sina Ferahman (Istanbul University) Erdinc Cekic (Lutfiye Nuri Burat State Hospital)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.91 No.2

발행연도: 2016.7

수록면: 59 - 65 (7page)

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Purpose: The 2-port laparoscopic appendectomy technique (TLA) is between the conventional 3-port and single-port laparoscopic appendectomy surgeries. We compared postoperative pain and cosmetic results after TLA with conventional laparoscopic appendectomy (CLA) by a 3-port device.
Methods: Patients undergoing TLA were matched with patients undergoing CLA between February 2015 and November 2015 at the same institution. Thirty-two patients underwent TLA with a needle grasper. The appendix was secured by a percutaneous organ-holding device (needle grasper), then removed through a puncture at McBurney’s point. Another 38 patients underwent CLA. Patient demographics, operative details, and postoperative outcomes were collected and evaluated.
Results: One patient in the TLA group developed a wound infection and 1 patient in the CLA group developed a postoperative intra-abdominal abscess and 3 wound infections. There was no significant difference between the groups when comparing the length of hospital stay, time until oral intake, and other complications. The pain score in the first 12 hours after surgery was significanly higher in CLA group than the TLA group (P ＜ 0.001). Operative time was significantly shorter in the CLA group compared to the TLA group (P ＜ 0.001).
Conclusion: TLA using a needle grasper was associated with a significantly lower pain score 12 hours after surgery, better cosmetic results, and lower cost, than the CLA 3-port procedure because of the fewer number of ports.

#Laparoscopic surgery #Appendectomy #Minimal invasive surgical procedures

참고문헌 (21)

참고문헌 신청

[학술지(정기간행물)] - Tiwari MM. / 2011 / Comparison of outcomes of laparoscopic and open appendectomy in management of uncomplicated and com plicated appendicitis / Ann Surg 254 : 927 ~ 932

[학술지(정기간행물)] - Wei HB. / 2010 / Laparoscopic versus open appendectomy : a prospective randomized comparison / Surg Endosc 24 : 266 ~ 269

[학술지(정기간행물)] - Lee J. / 2010 / Laparoscopic transum bilical single-port appendectomy : ini tial experience and comparison with three-port appendectomy / Surg Laparosc Endosc Percutan Tech 20 : 100 ~ 103

[학술지(정기간행물)] - Lee YS. / 2009 / Comparative study on sur gical outcomes and operative costs of tran sumbilical single-port laparoscopic appen dectomy versus conventional laparoscopic appendectomy in adult patients / Surg Laparosc Endosc Percutan Tech 19 : 493 ~ 496

[학술지(정기간행물)] - St Peter SD. / 2011 / Single incision versus standard 3-port laparoscopic appendectomy : a prospective randomized trial / Ann Surg 254 : 586 ~ 590

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