Single-Port Laparoscopic Appendectomy Versus Conventional Laparoscopic Appendectomy A Prospective Randomized Controlled Study
- Authors
- Lee, Won-Suk; Choi, Sang Tae; Lee, Jung Nam; Kim, Keon Kug; Park, Yeon Ho; Lee, Woon Kee; Baek, Jeong-Heum; Lee, Tae-Hoon
- Issue Date
- Feb-2013
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- appendectomy; laparoscope; single port
- Citation
- ANNALS OF SURGERY, v.257, no.2, pp.214 - 218
- Journal Title
- ANNALS OF SURGERY
- Volume
- 257
- Number
- 2
- Start Page
- 214
- End Page
- 218
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/14775
- DOI
- 10.1097/SLA.0b013e318273bde4
- ISSN
- 0003-4932
- Abstract
- Objective: To compare surgical outcomes and quality of life between single-port laparoscopic appendectomy (SPLA) and conventional laparoscopic appendectomy (CLA) in patients with acute appendicitis. Background: A prospective randomized single center study was performed to compare the outcome of SPLA and CLA in patients with acute appendicitis. Methods: A total of 248 patients were randomized, but because of 18 withdrawals, the outcome of 224 is analyzed, 116 in CLA and 114 in SPLA. Results: There was no significant difference in the overall complication rate (P = 0.470). There were no significant differences in infectious complications between the SPLA group and the CLA group (10.2% and 12.4%, respectively). The wound complication rate between the 2 groups was not significant (5.1% and 10.6%, respectively; P = 0.207). Cosmetic satisfaction score, 36-item short-form health survey, and postoperative pain scores were not significantly different between 2 groups. Conclusions: SPLA failed to show any advantages over CLA relative to pain and cosmesis. However, SPLA is as safe as CLA (RCT number 01348464).
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