Abstract

Background: Laparoscopic surgery has become the standard for treating appendi - citis. The cosmetic benefits of using single-incision laparoscopy are well known, but its duration, complications and time to recovery have not been well documented. We compared 2 laparoscopic approaches for treating appendicitis and evaluated postoperative pain, complications and time to full recovery. Methods: We retrospectively reviewed the cases of consecutive patients with appendicitis and compared those who underwent conventional laparoscopic appendectomy (CLA) performed using 3 incisions and those who underwent single-incision laparoscopic appendectomy (SILA). During SILA, the single port was prepared to increase visibility of the operative site. Results: Our analysis included 688 consecutive patients: 618 who underwent CLA and 70 who underwent SILA. Postsurgical complications occurred more frequently in the CLA than the SILA group (18.1% v. 7.1%, p = 0.018). Patients who underwent SILA returned to oral feeding sooner than those who underwent CLA (median 12 h v. 22 h, p <0.001). These between-group differences remained significant after controlling for other factors. Direct comparison of only nonperforated cases, which was determined by pathological examination, revealed that SILA was significantly longer than CLA (60 min v. 50 min, p <0.001). Patients who underwent SILA had longer in-hospital stays than those who underwent CLA (72 v. 55 h, p <0.001); however, they had significantly fewer complications (3.0% v. 14.4%, p = 0.006). Conclusion: In addition to its cosmetic advantages, SILA led to rapid recovery and no increase in postsurgical pain or complications.

Original languageEnglish
JournalCanadian Journal of Surgery
Volume57
Issue number3
DOIs
Publication statusPublished - 2014

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Appendectomy
Appendicitis
Cosmetics
Laparoscopy
Postoperative Pain
Length of Stay

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

Cite this

@article{eb47c68a66c343a0b933ca429f2740de,
title = "Single-incision versus conventional laparoscopic appendectomy in 688 patients: A retrospective comparative analysis",
abstract = "Background: Laparoscopic surgery has become the standard for treating appendi - citis. The cosmetic benefits of using single-incision laparoscopy are well known, but its duration, complications and time to recovery have not been well documented. We compared 2 laparoscopic approaches for treating appendicitis and evaluated postoperative pain, complications and time to full recovery. Methods: We retrospectively reviewed the cases of consecutive patients with appendicitis and compared those who underwent conventional laparoscopic appendectomy (CLA) performed using 3 incisions and those who underwent single-incision laparoscopic appendectomy (SILA). During SILA, the single port was prepared to increase visibility of the operative site. Results: Our analysis included 688 consecutive patients: 618 who underwent CLA and 70 who underwent SILA. Postsurgical complications occurred more frequently in the CLA than the SILA group (18.1{\%} v. 7.1{\%}, p = 0.018). Patients who underwent SILA returned to oral feeding sooner than those who underwent CLA (median 12 h v. 22 h, p <0.001). These between-group differences remained significant after controlling for other factors. Direct comparison of only nonperforated cases, which was determined by pathological examination, revealed that SILA was significantly longer than CLA (60 min v. 50 min, p <0.001). Patients who underwent SILA had longer in-hospital stays than those who underwent CLA (72 v. 55 h, p <0.001); however, they had significantly fewer complications (3.0{\%} v. 14.4{\%}, p = 0.006). Conclusion: In addition to its cosmetic advantages, SILA led to rapid recovery and no increase in postsurgical pain or complications.",
author = "Liang, {Hung Hua} and Hung, {Chin Sheng} and Weu Wang and Tam, {Ka Wai} and Chang, {Chun Chao} and Liu, {Hui Hsiung} and Yen, {Ko Li} and Wei, {Po Li}",
year = "2014",
doi = "10.1503/cjs.023812",
language = "English",
volume = "57",
journal = "Canadian Journal of Surgery",
issn = "0008-428X",
publisher = "Canadian Medical Association",
number = "3",

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TY - JOUR

T1 - Single-incision versus conventional laparoscopic appendectomy in 688 patients

T2 - A retrospective comparative analysis

AU - Liang, Hung Hua

AU - Hung, Chin Sheng

AU - Wang, Weu

AU - Tam, Ka Wai

AU - Chang, Chun Chao

AU - Liu, Hui Hsiung

AU - Yen, Ko Li

AU - Wei, Po Li

PY - 2014

Y1 - 2014

N2 - Background: Laparoscopic surgery has become the standard for treating appendi - citis. The cosmetic benefits of using single-incision laparoscopy are well known, but its duration, complications and time to recovery have not been well documented. We compared 2 laparoscopic approaches for treating appendicitis and evaluated postoperative pain, complications and time to full recovery. Methods: We retrospectively reviewed the cases of consecutive patients with appendicitis and compared those who underwent conventional laparoscopic appendectomy (CLA) performed using 3 incisions and those who underwent single-incision laparoscopic appendectomy (SILA). During SILA, the single port was prepared to increase visibility of the operative site. Results: Our analysis included 688 consecutive patients: 618 who underwent CLA and 70 who underwent SILA. Postsurgical complications occurred more frequently in the CLA than the SILA group (18.1% v. 7.1%, p = 0.018). Patients who underwent SILA returned to oral feeding sooner than those who underwent CLA (median 12 h v. 22 h, p <0.001). These between-group differences remained significant after controlling for other factors. Direct comparison of only nonperforated cases, which was determined by pathological examination, revealed that SILA was significantly longer than CLA (60 min v. 50 min, p <0.001). Patients who underwent SILA had longer in-hospital stays than those who underwent CLA (72 v. 55 h, p <0.001); however, they had significantly fewer complications (3.0% v. 14.4%, p = 0.006). Conclusion: In addition to its cosmetic advantages, SILA led to rapid recovery and no increase in postsurgical pain or complications.

AB - Background: Laparoscopic surgery has become the standard for treating appendi - citis. The cosmetic benefits of using single-incision laparoscopy are well known, but its duration, complications and time to recovery have not been well documented. We compared 2 laparoscopic approaches for treating appendicitis and evaluated postoperative pain, complications and time to full recovery. Methods: We retrospectively reviewed the cases of consecutive patients with appendicitis and compared those who underwent conventional laparoscopic appendectomy (CLA) performed using 3 incisions and those who underwent single-incision laparoscopic appendectomy (SILA). During SILA, the single port was prepared to increase visibility of the operative site. Results: Our analysis included 688 consecutive patients: 618 who underwent CLA and 70 who underwent SILA. Postsurgical complications occurred more frequently in the CLA than the SILA group (18.1% v. 7.1%, p = 0.018). Patients who underwent SILA returned to oral feeding sooner than those who underwent CLA (median 12 h v. 22 h, p <0.001). These between-group differences remained significant after controlling for other factors. Direct comparison of only nonperforated cases, which was determined by pathological examination, revealed that SILA was significantly longer than CLA (60 min v. 50 min, p <0.001). Patients who underwent SILA had longer in-hospital stays than those who underwent CLA (72 v. 55 h, p <0.001); however, they had significantly fewer complications (3.0% v. 14.4%, p = 0.006). Conclusion: In addition to its cosmetic advantages, SILA led to rapid recovery and no increase in postsurgical pain or complications.

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