Single-incision multi-port laparoscopic appendectomy: How I do it

• Main Authors: Bhatia Parveen, Sabharwal Vinay, Kalhan Sudhir, John Suviraj, Deed Jagpreet, Khetan Mukund
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2011-01-01
• Series: Journal of Minimal Access Surgery
• Subjects: Single-incision laparoscopic surgery; single access laparoscopic surgery; appendectomy; appendicectomy; single port access surgery
• Online Access: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2011;volume=7;issue=1;spage=28;epage=32;aulast=Bhatia

<b>Introduction</b> : Single-incision laparoscopic surgery (SILS) appendectomy seeks to further minimise the trauma of parietal access of laparoscopic appendectomy. <b>Methods:</b> We present our initial experience of 17 cases of SILS appendectomy which were completed using conventional laparoscopic instruments. We utiliesd a single-incision multi-port laparoscopic appendectomy (SIMPLA) technique. <b>Results:</b> The operative time was 63 &#177; 20 min, blood loss 6.5 &#177; 5 mL, bowel movement (passing stool) occurred in 2.6 &#177; 0.6 days. Most patients were discharged on the first operative day on oral diet. The analgesic usage and pain scores were similar to multi-port laparoscopic appendectomy. No complications were noted at follow-up till 4 weeks and the surgical wound healed in all patients with an inconspicuous scar. <b>Conclusion:</b> Our initial experience with SILS appendectomy demonstrates its feasibility and supports the promise of minimising further the access of laparoscopic surgery. The clear advantage is its cosmetic benefit.