Yusuke Nishi, MD, Naoki Mukai, MD, Katsuhiro Tomofuji, MD, Takaaki Takebayashi, MD, Naoki Ishida, MD, Hajime Satou, MD, PhD, Yoshinori Imai, MD, PhD, Jota Watanabe, MD, PhD, Kenji Nezu, MD, PhD, Kenzo Okada, MD, PhD, Toshihiko Sakao, MD, PhD, Shinsuke Kawajiwara, MD, PhD. Uwajima city hospital
Currently, single-incision laparoscopic appendectomy is widely performed in many institutions. Some surgical procedures have been developed, but most of these require inducing pneumoperitoneum. We performed single-incision transumbilical laparoscopy-assisted appendectomy (TULAA) without pneumoperitoneum, with lifting of the abdominal wall by using a muscle hook. We performed this technique in 56 patients between January 2012 and June 2016. We compared the mortality and morbidity between single-incision laparoscopic appendectomy under pneumoperitoneum and gasless TULAA, both performed in the same period. Gasless TULAA was completed in 33 patients (59.0%). No significant difference in postoperative complications was observed. In addition, gasless TULAA resulted in significantly fewer incidences of bleeding, shorter operation time, and shorter postoperative hospital stay. Gasless TULAA can be easily converted to other procedures if necessary. Thus, gasless TULAA appears to be a safe and useful procedure.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 78967
Program Number: P610
Presentation Session: Poster (Non CME)
Presentation Type: Poster