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Application of Single Incision Laparoscopic Surgery for Appendectomies in Patients with Complicated Appendicitis

대한대장항문학회지 2010년 26권 6호 p.388 ~ 394
 ( Kang Kyung-Chae ) - Wonkwang University College of Medicine Department of Surgery

 ( Lee Seok-Youn ) - Wonkwang University College of Medicine Department of Surgery
 ( Kang Dong-Baek ) - Wonkwang University College of Medicine Department of Surgery
 ( Kim Seung-Ho ) - Wonkwang University College of Medicine Department of Surgery
 ( Oh Jung-Taek ) - Wonkwang University College of Medicine Department of Surgery
최덕화 ( Choi Duk-Hwa ) - Wonkwang University College of Medicine Department of Anesthesiology
 ( Park Won-Cheol ) - Wonkwang University College of Medicine Department of Surgery
 ( Lee Jeong-Kyun ) - Wonkwang University College of Medicine Department of Surgery

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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