Single Incision Laparoscopic Appendectomy: A Prospective Randomized Comparison of the Clinical Results of 50 Cases
Surgery, Gastroenterology and Oncology, cilt.29, sa.4, 2025 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 29 Sayı: 4
- Basım Tarihi: 2025
- Doi Numarası: 10.21614/sgo-731
- Dergi Adı: Surgery, Gastroenterology and Oncology
- Derginin Tarandığı İndeksler: Scopus
- Anahtar Kelimeler: laparoscopic appendectomy, sils, single incision, single site
- Maltepe Üniversitesi Adresli: Evet
Özet
Aim: The benefits of laparoscopic approach over open surgery have been demonstrated in recent decades and development of Single incision laparoscopic surgery (SILS) aimed to reduce invasiveness of multiport laparoscopy. Our aim is to compare results of single incision laparoscopic (SILS) appendectomy and multiport laparoscopic (MPL) appendectomy in this prospective study. Material and Methods: 25 consecutive patients who underwent SILS appendectomy (group 1) were compared with 25 patients who underwent MPL appendectomy (group 2) during the same period. Data consisting of patient characteristics, definitive diagnosis, operation time, blood loss, hospital stay time, complications, pain scores, rate of conversion to MPL and open surgery and satisfaction rate of cosmetic outcome were collected. Results: 23 (92%) SILS appendectomies and 22 (88%) MPL appendectomies were completed successfully. The operation time was significantly longer in groups 1 (57.60±18,99 vs. 37.20 ± 7.91 minutes, p＜0.001). Higher pain scores and better cosmetic outcomes were observed in group 1 (p<0.05) with no significant difference in complication rates between groups (p>0.05). Conclusion: SILS appendectomy seems to be an acceptable alternative to MPL appendectomy with acceptable results. SILS is a safe, feasible and effective technique for appendectomy. Despite higher postoperative pain, cosmetic satisfaction is excellent in SILS group.