Single Port Appendectomy- A New Promise

David Carne, MD, A Arumugasaamy, M Ruhlin, K Stakleff, PhD, D Guyton, md, Charu Paranjape, MD. Akron General Medical Center

Introduction:
Trans-umbilical Single port appendectomy is a virtually scar-less newer technique of appendectomy. This study retrospectively compares it with the traditional multiport appendectomy in terms of the operative length, costs, complications, length of stay and post-operative pain.

Methods & Procedures:
Single port and multiport laparoscopic appendectomies done at our teaching institute were retrospectively analyzed for the time period of April 2009- September 2010. Institutional Review Board approved the study. Analysis of variance (ANOVA) was applied to measure the differences.

Results:
There were 45 single port appendectomies and 65 multiport laparoscopic appendectomies. Ruptured appendectomies had statistically significant higher costs, complications, operative length and length of stay than non-ruptured appendectomies as expected but there was no statistically significant difference in single vs. multiport ruptured cases. There were total 97 non-ruptured cases-39 single port and 58 multiport. The two techniques had comparable results in terms of the operative length, costs, complications, length of stay and post-operative pain in these groups. Single port appendectomies had less length of stay, less use of pain medications.

Conclusions:
This study reports the largest adult single port appendectomy series in US. Single port appendectomy has the significant advantage of being the virtually scar-less appendectomy but this study also finds it comparable to the traditional multiport laparoscopic technique in terms of the operative length, costs, complications, length of stay and post-operative use of pain medication. BMI (Body Mass Index) was similar in two groups- indicating that higher BMI may not be a contraindication for single port cases. There was a trend towards less length of stay and less use of pain medications in the non-ruptured single port cases. Larger series is needed to support this trend.


Session: Poster
Program Number: P474
View Poster

« Return to SAGES 2011 abstract archive