The Feasibility of Single-Port Laparoscopic Interval Appendectomy for Complicated Appendicitis: A Comparison Study with Multi-Port Laparoscopic Appendectomy in a Single Institution in Korea

Ran Song, Nak Song Sung*, Seung Jae Roh, Won Jun Choi, In Seok Choi, Dae Sung Yoon, Sang Eok Lee, Ju Ik Moon, SeongUk Kwon, In Eui Bae, Seung Jae Lee and Sung Gon Kim

Department of Surgery, Konyang University Hospital, Korea

^*Correspondance to: Nak Song Sung 

 PDF  Full Text DOI: 10.25107/2474-1647.3399

Abstract

Purpose: Interval Appendectomy (IA) for complicated appendicitis after conservative treatment can reduce unnecessary manipulation during surgery, as well as postoperative complications. As minimally invasive surgery has developed, the use of laparoscopic appendectomy with a single-site incision is increasing. However, few studies have investigated the perioperative outcomes of Single- Port Laparoscopic Appendectomy (SPLA) compared with Multiport Laparoscopic Appendectomy (MPLA) in IA. The aim of this study was to evaluate the feasibility and safety of laparoscopic IA with a single port compared to conventional multi-port surgery. Methods: This study was conducted retrospectively in Konyang University Hospital, Daejeon, Korea. We analyzed the records of 144 patients who underwent laparoscopic IA following conservative treatment for complicated appendicitis between March 2003 and August 2020. The operative outcomes and postoperative complications of SPLA were compared with those of conventional MPLA. Results: A total of 92 patients were included in this study; 31 and 61 patients underwent SPLA and MPLA, respectively. Using chi-square test and independent Student’s t-test, SPLA was associated with a significantly longer time interval between conservative management and operation (98.4 ± 24.4 days vs. 84.8 ± 22.2 days, p=0.009) and lower intraoperative blood loss (5.0 ml ± 3.0 ml vs. 8.3 ml ± 5.3 ml, p=0.005). However, operation time (59.2 ± 25.4 min vs. 53.4 ± 23.6 min, p=0.278), length of postoperative hospital stay (2.2 ± 0.7 days vs. 2.3 ± 0.9 days, p=0.537) and postoperative complication rate (9.7% vs. 6.6%, p=0.594) were comparable between the groups. Conclusion: This study provides evidence that single-port laparoscopic interval appendectomy is safe and feasible after conservative management for complicated appendicitis.

Keywords

Complicated appendicitis; Interval appendectomy; Laparoscopic appendectomy; Single-port surgery

Cite the article

Song R, Sung NS, Roh SJ, Choi WJ, Choi IS, Yoon DS, et al. The Feasibility of Single-Port Laparoscopic Interval Appendectomy for Complicated Appendicitis: A Comparison Study with Multi-Port Laparoscopic Appendectomy in a Single Institution in Korea. Clin Surg. 2022; 7: 3399..