Appendectomy with Single-Port laparoscopic transumbilical surgery

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COD: 05_2011_421-426 Categorie: ,

Baki Ekçi

Ann. Ital. Chir., 2011 82: 421-425

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PURPOSE: Acute appendicitis is among the most common emergency conditions in surgical practice and appendectomy is
the most common treatment. Single-port (SP) laparoscopic transumbilical surgery has emerged in clinical practice. The
aim of this study is to describe SP laparoscopic transumbilical surgery procedure performed in three patients undergoing
appendectomy.
METHODS: Three patients diagnosed with acute appendicitis were operated with SP laparoscopic transumbilical surgery
technique. Patient’s gender, age, BMI, operation time and length of hospital stay were recorded.
RESULTS: Three patients (2 female, 1 male) with a mean age of 38 (range 28-48) years underwent appendectomy. The
mean postoperative length of stay was 1 day. The mean operative time was 35 minutes (range 30-45 minutes). No scar
formation was observed and incisions were nearly invisible in the umbilicus in all patients.
CONCLUSION: SP laparoscopic transumbilical appendectomy is a safe, effective and reliable technique leading potentially
scarless abdominal surgery. Even though SP laparoscopic transumbilical surgery cannot substitute laparoscopic appendectomy
for the moment, it is assumed that this procedure will become widespread by putting novel instruments into practice.