Single incision multiport laparoscopic appendectomy using a 2 mm alligator forceps: our experience of 60 cases
DOI:
https://doi.org/10.18203/2349-2902.isj20203260Keywords:
Laparoscopic appendectomy, Minimal access surgery, Single incision laparoscopic surgeryAbstract
Single incision laparoscopic surgery is an emerging branch of minimally assess surgery to reduce scar and post-operative pain. Appendicitis is a common general surgical problem encountered in day to day practice. Different methods of appendectomy have been described by different surgeons from open to laparoscopic and now single incision laparoscopic surgery has been practised. This is a prospective study carried out in our Department of General Surgery SCB Medical College, Cuttack from February 2019 to March 2020; 60 patients had undergone the procedure and the results are published noted under headings of post-operative pain at (6 hours, 12 hours, 24 hours and 48 hours), post-operative requirement of analgesia (diclofenac) at (6 hours, 12 hours, 24 hours and 48 hours), operative time, days to resume bowel activity, days of hospital stay, post-operative complication in accordance to Clavien-Dindo classification.
Metrics
References
Prystowsky JB, Pugh CM, Nagle AP. Current problems in surgery: appendicitis. Curr Probl Surg. 2005;42:688-742.
Sauerland S, Lefering R, Neugebauer EA. “Laparoscopic versus open surgery for suspended appendicitis,” Cochrane Database of Systemic Reviews, no. 4, Article ID CD001546,2004.
Ahmed K, Wang TT, Patel VM. The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systemic review. Surg Endosc. 2011;25:378-96.
Chow A, Aziz O, Purkayastha S, Darzi A, Paraskeva P. Single incision laparoscopic surgery for acute appendicitis: Feasibility in Pediatrics Patients. Diagnostic Therapeutic Endoscopy. 2010:3.
Clavein PA. The Clavien-Dindo classification of surgical complications: Five years’ experience. Ann Surg. 2009;250(2):187-96.
Pedziwiatr M, Mavrikis J, Witowski J, Adamos A, Major P, Nowakowski M, et al. Current status of enhanced recovery after surgery (ERAS) protocol in gastrointestinal surgery. Med Oncology. 2018;35:95.
Sauerland S, Lefering R, Neugebauer EA. Laparoscopic versus open surgery for suspended appendicitis. Cochrane Database Systemic Reviews. 2004;4:CD001546.
Keus FJA, Jong D, Gooszen HG, Laarhoven CJV. Laparoscopic versus open cholecystectomy for patients with systemic cholecystilithiasis. Cochrane Database Systemic Reviews. 2006;4:CD006231.
Chow A, Purkayastha S, Aziz O, Paraskeva P. “Single-incision laparoscopic surgery for cholecystectomy: an evolving technique”. Surg Endoscopy. In press.
Chow A, Purkayastha S, Paraskeva P. “Appenicectomy and cholecystectomy using single-incision laparoscopic surgery (SILS): the first UK experiences”. Surg Innovation. 2009;16(3):211-7.