THE OUTCOME OF SINGLE INCISION LAPAROSCOPIC (SILS) APPENDICECTOMY FOR MANAGEMENT OF ACUTE APPENDICITIS
Main Article Content
Keywords
Acute Appendicitis, Single Incision Laparoscopic Surgery, Appendectomy, Wound Infection, Hospital Stay
Abstract
BACKGROUND: Acute appendicitis is most common emergency encountered round the globe. Open appendectomy is gold standard for treatment of acute appendicitis. However, with invent of laparoscopic surgery, effort is to minimize the tissue trauma. Single incision laparoscopic surgery (SILS) appendectomy is novel technique which is not universally practiced. This study evaluated outcome of SILS appendectomy.
OBJECTIVE: The objective of this study is to determine the outcome of SILS appendectomy for treatment of acute appendicitis.
METHODS: A Cross sectional comparative study was carried at surgical departments at sir Ganga ram Hospital Lahore for Six months from June 2006 to November 2006. Hundred patients with diagnosis of acute appendicitis were collected for this study. All the patients had SILS appendectomy. The patients were evaluated for the outcome parameters i.e. wound infection and hospital stay.
RESULTS: The success was labeled as yes in 98 (98%) patients. The wound infection was seen in 2 (2%) patients, while 98 (98%) patients did not have wound infection. There were 95 (95%) patients in the study in whom two days of hospital stay was required, while in 5 (5%) patients, more than two days of hospital admission was needed. The mean duration of hospital stay was 2.16±0.29 days.
CONCLUSIONS: The success rate of SILS appendectomy is quite high with a very low rate of wound infection. The hospital stay is also acceptable (approximately 2 days). So, it appears to be a feasible technique.
References
2. Petroianu A, Oliveiro-Neto JE, Alberti LR. Comparative incidence of acute appendicitis in a mixed population, related to skin colour. Arch Gastroenterol 2004;41:24-26.
3. Simpson J, Speaker W. Appendicitis. Clin Evid 2004;11:544-551.
4. Antevil J, Rivera L, Langenberg B, Brown CV. The influence of age and gender in the utility of computed tomography to diagnose acute appendicitis. Am Surg 2004;70:850-853.
5. Oiculescu D, Polade R. Immunologic and bacteriologic study of severe acute appendicitis. Diagnostics and therapeutic considerations. Chirurgia (Bucur) 2007;102:271-276.
6. Amalesh T, Shaukar M, Shaukar R. CRP in acute appendicitis – is it a necessary investigation? Int J Surg 2004;2:88-89.
7. Sauerland S, Lefering R, Neugebauer EA. Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev 2004;CD001546.
8. de Kok HJ. A new technique for resecting the non-inflamed not-adhesive appendix through a mini-laparotomy with the aid of the laparoscope. Arch Chir Neerl 1977;29:195-198.
9. Van Hove C, Hardiman K, Diggs B, Deveney C, Sheppard B. Demographic and socioeconomic trends in the use of laparoscopic appendectomy from 1997 to 2003. Am J Surg 2008;195:580-558.
10. Sporn E, Petroski GF, Mancini GJ, Astudillo JA, Miedema BW, Thaler K. Laparoscopic appendectomy--is it worth the cost? Trend analysis in the US from 2000 to 2005. J Am Coll Surg 2009;208:179-185.
11. Raman JD, Cadeddu JA, Rao P, Rane A. Single-incision laparoscopic surgery: initial urological experience and comparison with natural-orifice transluminal endoscopic surgery. BJU Int 2008;101:1493-1496.
12. Cuesta MA, Berends F, Veenhof AAFA. The invisible cholecystectomy: a transumbilical laparoscopic operation without a scar. Surg Endosc 2008;22:1211-1213.
13. Prasad A. Single incision laparoscopic surgery. World J Gastroenterol 2010;16:2705-2706.
14. Chow A, Purkayastha S, Aziz O, Pefanis D, Parakeva P. Single-Incision Laparoscopic Surgery for Cholecystectomy A Retrospective Comparison With 4-Port Laparoscopic Cholecystectomy Arch Surg 2010;145:1187-1191.
15. Rane A, Rao P, Rao P. Single port access nephrectomy and other laparoscopic urologica procedures using a novel laparoscopic port (R-Port). Urology 2008;72:260-263.
16. Rane A, Dasgupta P. Single incision laparoscpic surgery. BJU International 2009;103:429-430.
17. Pappalepore N, Tursini S, Marino N, Lisi G, Lelli CP. Transumbilical laparoscopic assisted appendectomy (TULAA): a safe and useful alternative for uncomplicated appendicitis. Eur J Pediatr Surg 2002;12:383-386.
18. Dunn MD, Portis AJ, Shalhav AL. Laparoscopic versus open radical nephrectomy; a 9 year experience. J Urol 2000;164.
19. Rassweiler J, Frede T, Henkel TO, Stock C, Alken P. Nephrectomy: a comparative study between the transperitoneal and reteroperitoneal laparoscopic versus the open approach. Eur Urol 1998;33:489-496.
20. Nguyen NT, Reavis KM, Hinojosa MW, Smith BR, Stamos MJ. A single-port technique for laparoscopic extended stapled appendectomy. Surg Innov 2009;16:78-81.
21. Vettoretto N, Mandalà V. Single port laparoscopic appendectomy: are we pursuing real advantages? Vettoretto and Mandalà World Journal of Emergency Surgery 2011;6:25.
22. Sanz M, Jose F, Aguilar N, Bogajo MLH, Rivas AM, Liorente CG, Ruiz GT. Singlie incision laparoscopic surgery. CIR ESP 2010;88:12-17.
23. Rajat G, Ahmad BS, Jonathan F, Kuok CL, Tswen WVL, Amit A, Davide L. Single-incision Laparoscopic Appendectomy: Prospective Case Series at a Single Centre in Singapore. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 2011;21:318-321.
24. Chandler NM, Danielson PD. Single incision laparoscopic appendicecomy versus multiport laparoscopic appendicectomy in children: a retrospective comparsison. J Pediatr Sure 2010;45:2186-2190.
25. Shaikh HR, Mahesri M, Abbas A, Salahuddin HR. The initial series of single incision laparoscopic appnedicectomy for Pakistan. SAGES.
26. Khan MN, Davie E, Irshad K. The role of white cell count and C-reactive protein in the diagnosis of acute appendicitis. J Ayub Med Coll Abbottabad 2004;16:17-19.
27. Stefanutti G, Ghirardo V, Gamba P. Inflammatory markers for acute appendicitis in children: are they helpful? J Pediatr Surg 2007;42:773-776.
28. Feinberg EJ, O'Connor DJ, Feinberg ML, Vemulapalli P, Camacho D. Single-Incision Laparoscopic Appendectomy: An Early Experience. Am Surg 2011;77:286-289.
29. Vidal O, Ginesta C, Valentini M, Marti J, Benarroch G, Garcia-Valdecasas JC. Suprapubic single-incision laparoscopic appendectomy: a nonvisible-scar surgical option. Surg Endosc 2011;25:1019-1023.
30. Kössi J, Luostarinen M. Initial Experience of the Feasibility of Single-Incision Laparoscopic Appendectomy in Different Clinical Conditions. Diagn Ther Endosc 2010;2010:240260.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Mujeeb-ur-Rehman
Gambat Institute of Medical Sciences
Ehsanullah Malik
Shaheed Mohtarma Benazir Bhutto Medical University Larkana
Sajjad Ahmed Channa
Shaheed Mohtarma Benazir Bhutto Medical University Larkana
Abdul Gaffar Pirzado
Shaheed Mohtarma Benazir Bhutto Medical University Larkana
Wasim Sarwar Bhatti
Gambat Institute of Medical Sciences
Waseem Abbas
Institute of Pharmacy, Shaheed Mohtarma Benazir Bhutto Medical University
Nadeem Baloch
Institute of Pharmacy, Shaheed Mohtarma Benazir Bhutto Medical University
Shahjahan Siyal
Shaheed Mohtarma Benazir Bhutto Medical University Larkana
Saiqa Lashari
Department of Pharmacy Shah Abdul Latif University Khairpur Mirs
Muhammad Umair Farooqi
Institute of Pharmacy, Shaheed Mohtarma Benazir Bhutto Medical University
Fahad Jibran Siyal
Shaheed Mohtarma Benazir Bhutto Medical University Larkana