Long-term cosmetic results of single-incision vs. conventional laparoscopic appendectomy

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COD: 05_2018_14_2632 Categorie: ,

Tugan Tezcaner, M. Ilker Arer, Mahir Kidnap, Feza Y. Karakayali, Gökhan Moray

Ann. Ital. Chir., 2018 89, 5: 448-454

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AIM: The purpose of this study was to compare cosmetic, along with surgical, results between single incision laparoscopic
appendectomy (SILA) and conventional laparoscopic appendectomy (CLA), particularly from patients’ points of view.
MATERIALS AND METHODS: All of the patients who underwent surgery for suspected acute appendicitis and were eligible
for laparoscopic surgery were evaluated prospectively in our center between June 2013 and January 2015. Patients were
underwent CLA or SILA were compared for operative results and cosmetic outcomes by Body Image Questionnaire. Nonparametric
tests were used in the intergroup comparisons of quantitative data. Chi-square test was used in the comparison
of qualitative data.
RESULTS: A total of consecutive 166 patients were underwent SILA (55) or CLA (111) were included to the study.
There was no conversion to another procedure. Duration.of operation was significantly longer in SILA group (36.69±12.79
vs. 42.64±15.15; p= 0.009). There were no significant differences in length of stay, complications. SILA patients had
more postoperative pain at first day after operation (p=0.002). After 12 months, body image and cosmetic appearance
were excellent for both groups and indistinguishable by most measures (55.79±2.31 vs. 55,76±2,13; p= 0,937).
CONCLUSIONS: SILA resulted in more pain and longer operative times without improving short-term recovery or complications.
Long-term body image and cosmetic appearance were similar and excellent in both groups.