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Outcomes of a Single-Port Laparoscopic Appendectomy Using a Glove Port With a Percutaneous Organ-Holding Device and Commercially-Available Multichannel Single-Port Device

대한대장항문학회지 2014년 30권 1호 p.42 ~ 46
 ( Lee Ji-Eun ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Medical Center Department of Surgery

 ( Kim Hyung-Ook ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Medical Center Department of Surgery
 ( Son Byung-Ho ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Medical Center Department of Surgery
 ( Choi Won-Jun ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Medical Center Department of Surgery

Abstract


Purpose: A laparoscopic appendectomy is now commonly performed. The push in recent years toward reducing the number of ports required to perform this surgery has led to the development of a single-port laparoscopic appendectomy (SPA). We compared postoperative pain after an SPA using a glove port with a percutaneous organ-holding device (group 1) with that of an SPA using a commercially-available multichannel single-port device (group 2).

Methods: Between March 2010 and July 2011, a retrospective study was conducted of a total of 77 patients who underwent an SPA by three surgeons at department of surgery, Kangbuk Samsung Medical Center. Thirty-eight patients received an SPA using a glove port with a percutaneous organ-holding device. The other 39 patients received an SPA using a commercially-available multichannel single port (Octo-Port or SILS Port). Operative details and postoperative outcomes were collected and evaluated.

Results: There were no differences in the mean operative times, times to pass gas, postoperative hospital stays, or cosmetic satisfaction scores between the two groups. The pain score in the first 24 hours after surgery was higher in group 2 than group 1 patients (P < 0.001). Furthermore, the trocar used in group 2 was more expensive than that used in group 1.

Conclusion: An SPA using a glove port with a percutaneous organ-holding device was associated with a lower pain score during the first 24 hours after surgery because of the shorter fascia incision length and a cheaper cost than an SPA using a commercially-available multichannel single-port device.

키워드

Single port; Percutaneous organ-holding device; Laparoscopic appendectomy
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