Tomoaki Saito, Manabu Watanabe, Koji Asai, Hiroshi Matsukiyo, Tomotaka Ishii, Manabu Kujiraoka, Asako Takahashi, Takaharu Kiribayashi, Toshiyuki Enomoto, Youichi Nakamura, Yasushi Okamoto, Natsuya Katada, Yoshihisa Saida, Shinya Kusachi. Toho University Ohashi Medical Center
Background: Appendicitis is various pathophysiological conditions from catarrhalis to gangrenous and is also different therapeutic strategies among hospitals. Single incision laparoscopic appendectomy (SILS-A) is one of the therapeutic strategies for appendicitis. Aim: To clarify the feasibility of SILS-A.
Patients and Method: Patients underwent laparoscopic appendectomy for appendicitis from January 2011 to October 2014. All patients were diagnosed by CT examination in our hospital. We analyzed the patients’ characteristics and perioperative complications compared SILS-A with conventional laparoscopic appendectomy retrospectively.
Results: Fourteen patients underwent SILS-A and 210 underwent CLA. There was no significant statistical difference between two groups regarding patients’ characteristics and perioperative complications but CLA cases tended to be performed more often than SILS-A cases in emergent cases (p=0.082) . Most SILS-A was performed by expert laparoscopic surgeons.
Conclusion: SILS-A was feasible and it will be one of the therapeutic options for appendicitis, on the other hand, operators were limited. Further education is expected for younger surgeons.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80122
Program Number: P266
Presentation Session: Poster (Non CME)
Presentation Type: Poster