A study of single sight two port laparoscopic appendectomy for its feasibility, advantages and disadvantages


  • Dinesh Prasad Department of General Surgery, SMIMER, Surat, Gujarat, India
  • Rajesh Chandanani Department of General Surgery, SMIMER, Surat, Gujarat, India
  • Kesha Shah Department of General Surgery, SMIMER, Surat, Gujarat, India




SSTPLA, Single incision laparoscopic appendectomy, Open appendectomy, Laparoscopic appendectomy


Minimally invasive techniques revolutionized surgery with severe reduction of access trauma, prompt mobilization, lessened hospital stays and better cosmesis.1 Laparoscopic appendectomy can be further categorized into three port and reduced port appendectomy. All the selected cases have been put in a tabulated form on the basis of their age, clinical features and signs, ultrasonography findings, intra op complications, duration of surgery, duration of post op pain, early post op complications, cosmetic outcome and trochar size. 20 patients fulfilling inclusion and exclusion criteria, who were admitted in our hospital (SMIMER Surat) from 1st December, 2019 to 1st April 2020 and were included in the study and underwent single sight two port laparoscopic appendectomy (SSTPLA) after their consent. We have covered the entire procedure of single sight two port appendectomy, its technique, feasibility, advantages, and disadvantages. From our study, we conclude that this new technique of SSTPLA is technically safe and feasible. Our experience of this innovative surgical technique is suggestive of the fact that SSTPLA has better patient satisfaction with respect to cosmesis, decreased post-operative pain, decreased hospital stay, decreased operative time, fewer intra operative and post-operative complications and surgeon satisfaction with respect to ergonomics and decreased chances of collision of laparoscope with only single working instrument.

Author Biographies

Dinesh Prasad, Department of General Surgery, SMIMER, Surat, Gujarat, India

Additional Professor, Department of General Surgery

Rajesh Chandanani, Department of General Surgery, SMIMER, Surat, Gujarat, India

Assistant Professor, Department of General Surgery

Kesha Shah, Department of General Surgery, SMIMER, Surat, Gujarat, India

Resident Doctor, Department of General Surgery


Bhangu A, Soreide K, Saverio DS, Assarsson JH, Drake FT. Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. Lancet. 2015;386:1278-87.

Chen K, Cao G, Chen B, Wang M, Xu X. Laparoscopic versus open surgery for rectal cancer: A meta-analysis of classic randomized controlled trials and high-quality Nonrandomized Studies in the last 5 years. Int J Surg. 2017;39:1-10.

Amyand C. Of an inguinal rupture, with a pin in the appendix coeci, incrusted with stone; and some observations on wounds in the guts. Phil Trans. 1735;39:329-42.

Burney MC. Experience with early operative interference in cases of disease of the vermiform appendix. N Y State Med J. 1889;50:6.

Burney MC. The incision made in the abdominal wall in cases of appendicitis, with a description of a new method of operating. Annals Surg. 1894;20:38-43.

Bonanni F, Reed J, Hartzell G. Laparoscopic versus conventional appendectomy. Journal Am College Surg. 1994;179(3):273-8.

Sakpal SV, Bindra SS, Chamberlain RS. Laparoscopic cholecystectomy conversion rates two decades later: an analysis of surgeon and patient-specific factors resulting in open conversion. J Society Laparoendoscopic Surg. 2011;14(4):476-83.

Reifelder C, Cafferty BM, Frankenberg VM. Open appendectomy. Chirurg. 2009;80(7):602-7.

Pattanshetti VM, Krishna KL. Conventional laparoscopic appendectomy versus double-incision, three-port laparoscopic appendectomy: A 1-year randomized controlled trial. Asian J Endosc Surg. 2018;218(5):950-9.

Schauer PR, Ikramuddin S, Luketich JD. Minilaparoscopy. Semin Laparosc Surg. 1999;6:21-31.

Mori S, Baba K, Yanagita S, Kita Y, Maemura K, Mataki Y, et al. Reduced port surgery for appendectomy: Early experience and surgical technique. World J Surg Proced. 2013;3(2):8-12.

Greaves N, Nicholson J. Single incision laparoscopic surgery in general surgery: a review. Annals Royal College Surg England. 2011;93:437-40.

Cadeddu J, Fernandez R, Desai M. Novel magnetically guided intra-abdominal camera to facilitate laparoendoscopic single-site surgery: initial human experience. Surg Endoscopy Other Interventional Techniques. 2009;23(8):1894-9.

Panait L, Bell RL, Duffy AJ, Roberts KE. Two-port laparoscopic appendectomy: minimizing the minimally invasive approach. J Surg Res. 2009;153(1):167-71.

Ates O, Hakguder G, Olguner M, Akgur FM. Single-port laparoscopic appendectomy conducted intracorporeally with the aid of a transabdominal sling suture. J Pediatr Surg. 2007;42(6):1071-4.






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