Beta
179285

Laparoscopic single trocar appendectomy

Article

Last updated: 23 Jan 2023

Subjects

-

Tags

-

Abstract

Background  and  objective:  Single  port  surgery  is  a new  surgical  technique  with  more promising advantages of minimal access laparoscopy. The present study was to assess the feasibility of the single trocar appendectomy, its morbidities and satisfaction for both patients and surgeons. Methods:  Consecutive  patients presenting with acute appendicitis  were treated  by single port appendectomy. Through an umbilical incision, the single port was inserted, we used SJLS port (Covidien) in 15 cases and Xcone port (Karl Storz) in 27 cases. A 5mm 30° lens was used. The mesoappendix  was coagulated and divided by Ligasure, Harmonic scalpel or diathermy. Absorbable  endoloops  were used  to  ligate  the  base  of the  appendix. Assessment  included operative time, complications,  patient satisfaction and surgeon satisfaction. Results: The study included 42 patients, 24 (57.1%)  females and 18 (42.9%)  males with a mean age of27.3±5.4  years. The procedure was completed in all of the patients. Complications occurred in 4 patients (9.5%). The mean hospital stay was 1.1 days± I. The procedure achieved accepted cosmetic outcome with minimal or hidden scar. The patients were satisfied as good or very  good procedure. The surgeons found it satisfactory in 67.6% of operations as regards technical difficulties and outcome. Conclusion: The procedure is feasible and safe. Neither mortality nor visceral injury occurred in this study. Rate of complications  was 9.5%. Accepted rate of satisfaction  was present for both patients and surgeons. It achieved accepted cosmetic results with minimal or hidden scar. Complications are expected to decrease by improvement in the learning curve.

DOI

10.21608/asjs.2013.179285

Keywords

single port, Appendectomy, Laparoscopy

Authors

First Name

MohamedA

Last Name

Sharaan

MiddleName

-

Affiliation

Department of General Surgery, Alexandria University, Alexandria, Egypt.

Email

-

City

-

Orcid

-

First Name

Samer S

Last Name

Bessa

MiddleName

-

Affiliation

Department of General Surgery, Alexandria University, Alexandria, Egypt.

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

EI-Gendy

MiddleName

-

Affiliation

Department of General Surgery, Alexandria University, Alexandria, Egypt.

Email

-

City

-

Orcid

-

First Name

Alaa H

Last Name

Abdel-Razek

MiddleName

-

Affiliation

Department of General Surgery, Alexandria University, Alexandria, Egypt.

Email

-

City

-

Orcid

-

First Name

Ayman M.

Last Name

Soliman

MiddleName

-

Affiliation

Department of General Surgery, Ain Shams University, Cairo, Egypt

Email

-

City

-

Orcid

-

Volume

6

Article Issue

1

Related Issue

25656

Issue Date

2013-01-01

Receive Date

2021-06-22

Publish Date

2013-01-01

Page Start

147

Page End

153

Print ISSN

2090-7249

Link

https://asjs.journals.ekb.eg/article_179285.html

Detail API

https://asjs.journals.ekb.eg/service?article_code=179285

Order

18

Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

23 Jan 2023