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논문 기본 정보

자료유형
학술저널
저자정보
Byung Kwan Park (Chung-Ang University Hospital, Chung-Ang University College of Medicine) Jong Won Kim (Chung-Ang University Hospital, Chung-Ang University College of Medicine) Suk Won Suh (Chung-Ang University Hospital, Chung-Ang University College of Medicine) Joong-Min Park (Chung-Ang University Hospital, Chung-Ang University College of Medicine) Yong Gum Park (Chung-Ang University Hospital, Chung-Ang University College of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.101 No.6
발행연도
2021.12
수록면
350 - 359 (10page)

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초록· 키워드

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Purpose: This study was performed to compare the efficacies of newly developed needle grasper-assisted (Endo Relief) single-incision laparoscopic appendectomy (NASILA) and single-incision laparoscopic appendectomy (SILA).
Methods: This study enrolled 110 patients with acute appendicitis without periappendiceal abscess, diagnosed using computed tomography, who were randomized to the SILA (n = 54) and NASILA groups (n = 56) between December 2017 and August 2018 (6 patients withdrawn). The NASILA technique entailed a small umbilical incision for the glove port (equivalent to that for a 12-mm trocar), and a 2.5-mm suprapubic incision for the needle grasper.
Results: The SILA and NASILA groups included 49 (male, 61.2%) and 55 (male, 54.5%) patients, respectively. Age, body mass index, abdominal surgical history, symptom duration, and use of patient-controlled analgesia did not differ significantly between the 2 groups. The main wound size was significantly smaller in the NASILA group than in the SILA group (1.8 ± 0.4 cm vs. 2.2 ± 0.4 cm, P < 0.001). The operative time and estimated blood loss did not differ significantly between both groups. The immediate postoperative pain score, i.e., the primary endpoint, was significantly lower in the NASILA group than in the SILA group (2.33 ± 0.98 vs. 2.82 ± 1.29, P = 0.031). The complaints for scar status 1 month postoperatively did not differ significantly between the groups.
Conclusion: NASILA could attenuate postoperative pain by minimizing the size of the surgical wound; further, NASILA may not be inferior to SILA in terms of cosmetic results.

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

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