Jemin Choi, Young-Il Choi. Kosin University Gospel Hospital
PURPOSE: Laparoscopic appendectomy (LA) has been widely performed for acute appendicitis. In addition, minimally invasive surgery such as LA is common surgical technique to the surgical residents. However, single incision laparoscopic surgery (SILS) is a challenge to inexperienced surgical residents. We described our initial experience in teaching SILS procedure for appendectomy in our medical center.
METHODS: Twenty nine cases of single incision laparoscopic appendectomy (SILA) were performed by single surgical resident and 110 cases of LA were performed by 4 surgical residents and 5 board-certified surgeons. A study was reviewed retrospectively.
RESULTS: The mean operative time in SILA and MLA groups was 44.5 ± 14 min (range 25–85 min) and 74.8 ± 26 min (range 20–125 min) respectively, significantly shorter in the SILA groups (p < 0.05). The postoperative hospital stay in the SILA and the MLA groups was 3.3 ± 1.6 day (range 2–6 day) and 4.0 ± 2.9 day (range 22–12 day) respectively (p < 0.05). In SILA group, wound infection developed in 3 cases. In Multi-port laparoscopic appendectomy (MLA) group, bladder injury during operation and postoperative ileus developed.
CONCLUSION: SILA is a feasible method of training process in laparoscopic surgery for the surgical resident starting to learn SILS.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86460
Program Number: P348
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster