Application of Single Incision Laparoscopic Surgery for Appendectomies in Patients with Complicated Appendicitis
Kang Kyung-Chae, 이석윤, 강동백, 김승호, 오정택, 최덕화, 박원철, 이정균,
소속 상세정보
( Kang Kyung-Chae )
Wonkwang University College of Medicine Department of Surgery
이석윤 ( Lee Seok-Youn )
Wonkwang University College of Medicine Department of Surgery
강동백 ( Kang Dong-Baek )
Wonkwang University College of Medicine Department of Surgery
김승호 ( Kim Seung-Ho )
Wonkwang University College of Medicine Department of Surgery
오정택 ( Oh Jung-Taek )
Wonkwang University College of Medicine Department of Surgery
최덕화 ( Choi Duk-Hwa )
Wonkwang University College of Medicine Department of Anesthesiology
박원철 ( Park Won-Cheol )
Wonkwang University College of Medicine Department of Surgery
이정균 ( Lee Jeong-Kyun )
Wonkwang University College of Medicine Department of Surgery
KMID : 0356720100260060388
Abstract
Purpose: Recently, single incision laparoscopic surgery (SILS) has been studied for its being less invasive surgery and having cosmetic improvement. We investigated the application of SILS for an appendectomy (SILS-A) in cases of complicated appendicitis and compare it with a conventional laparoscopic appendectomy (C-LA).
Methods: This study involved a total of 40 patients who underwent C-LA or SILS-A in patients with complicated appendicitis; 25 patients received a C-LA, and the other 15 patients received a SILS-A. The clinical outcomes and cosmetic results were compared between the groups.
Results: The SILS-A procedures were performed successfully in patients with complicated appendicitis, but 6 patients who underwent SILS-A needed an additional port for dissection and drainage. Clinical outcomes and postoperative complications were similar in both study groups. The SILS-A group showed significantly higher numbers of pain control than the C-LA group, and the one port SLLS-A group showed significantly better cosmetic result than the C-LA group.
Conclusion: SILS-A is technically feasible and safe in patients with complicated appendicitis. However, SILS-A has more postoperative pain than C-LA, and more active pain control should be considered for patients undergoing SILS-A.
키워드
Single incision; Laparoscopy; Appendicitis
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