Single-incision Laparoscopic Appendectomy Versus Conventional Laparoscopic Appendectomy: Experiences From 1208 Cases of Single-incision Laparoscopic Appendectomy. Experiences From 1208 Cases of Single-incision Laparoscopic Appendectomy.
Ann Surg
; 262(6): 1054-8, 2015 Dec.
Article
en En
| MEDLINE
| ID: mdl-26559780
ABSTRACT
OBJECTIVE:
Currently single-incision laparoscopic appendectomy (SIL-A) has become an option for treating appendicitis. The aim of this study was to evaluate the safety and feasibility of SIL-A compared with conventional laparoscopic appendectomy (CL-A) on a large experimental cohort.BACKGROUND:
Several studies had reported the safety and technical feasibility of SIL-A, albeit with a limited number of study subjects.METHODS:
A total of 2587 patients (1208 SIL-A and 1379 CL-A) who underwent laparoscopic appendectomy from May 2008 to April 2013 were studied retrospectively. The clinical characteristics and short-term operative outcomes of these patients were reviewed and analyzed.RESULTS:
There were more simple type appendicitis in the SIL-A group and more complicated type appendicitis in CL-A group (81.0% vs 74.7% and 19% vs 25.3%, P <0.001, respectively). The operative time (minutes) was similar between the 2 groups (40.1â±â18.6 vs 38.8â±â25.2, Pâ=â0.154). However, on subgroup analysis, operative time for simple type appendicitis was longer in the SIL-A group (36.6â±â14.9 vs 32.3â±â18.3, Pâ<â0.001). The superficial incisional surgical site infection rate was higher in the SIL-A group (4.4% vs 2.3%, Pâ=â0.003). The readmission rate was higher in the CL-A group (0.8% vs 1.7%, Pâ=â0.042). The postoperative hospital stay (days) was shorter in the SIL-A group (3.05â±â1.97 vs 3.35â±â2.14, Pâ<â0.001).CONCLUSIONS:
In this study, SIL-A was technically feasible and safe option for appendicitis. The SIL-A group had more favorable outcomes such as shorter time to start diet and less hospital stay after surgery than the CL-A group. However, superficial incisional surgical site infection rate was higher in the SIL-A group than in the CL-A group, an effort to reduce superficial incisional SSI should be made.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Apendicectomía
/
Apendicitis
/
Laparoscopía
Tipo de estudio:
Etiology_studies
/
Evaluation_studies
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Observational_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
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Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Ann Surg
Año:
2015
Tipo del documento:
Article