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Single incision laparoscopic surgery for appendicectomy: a retrospective comparative analysis

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Abstract

Background

Single incision laparoscopic surgery (SILS) may further reduce the trauma of surgery leading to reduced port site complications and postoperative pain. The improved cosmetic result also may lead to improved patient satisfaction with surgery.

Methods

Data were prospectively collected and retrospectively analyzed for all patients who underwent SILS appendicectomy at our institution and were compared with those who had undergone conventional laparoscopic appendicectomy during the same time period. This included patient demographic data, intraoperative, and postoperative outcomes.

Results

Thirty-three patients underwent conventional laparoscopic appendicectomy and 40 patients underwent SILS appendicectomy between January 26, 2008 and July 14, 2009. Operative time was shorter with SILS appendicectomy compared with conventional laparoscopic appendicectomy (p < 0.05). No patients in the SILS appendicectomy group required conversion to open surgery compared with two patients in the conventional laparoscopic appendicectomy group. Patients stayed an average of 1.36 days after SILS appendicectomy, and 2.36 days after conventional laparoscopic appendicectomy.

Discussion

SILS appendicectomy seems to be a safe and efficacious technique. Further work in the form of randomized studies is required to investigate any significant advantages of this new and attractive technique.

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Disclosures

Andre Chow, Sanjay Purkayastha, Jean Nehme, Ara Darzi, and Paraskevas Paraskeva have no conflicts of interest of financial ties to disclose.

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Authors and Affiliations

  1. Division of Surgery, Imperial College London, St Mary’s Hospital Campus, Praed Street, London, W2 1NY, UK

    Andre Chow, Sanjay Purkayastha, Jean Nehme, Lord Ara Darzi & Paraskevas Paraskeva

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  1. Andre Chow
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  2. Sanjay Purkayastha
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  3. Jean Nehme
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  4. Lord Ara Darzi
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  5. Paraskevas Paraskeva
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Correspondence to Paraskevas Paraskeva.

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Chow, A., Purkayastha, S., Nehme, J. et al. Single incision laparoscopic surgery for appendicectomy: a retrospective comparative analysis. Surg Endosc 24, 2567–2574 (2010). https://doi.org/10.1007/s00464-010-1004-3

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  • DOI: https://doi.org/10.1007/s00464-010-1004-3

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