Single-port laparoscopic appendectomy for acute appendicitis during pregnancy
- In Soo Cho; Sung Uk Bae; Woon Kyung Jeong; Seong Kyu Baek
- Dept. of Surgery (외과학)
- Issue Date
- 대한외과학회 학술대회 초록집, Vol.() : 183-183, 2018
- Purpose: Acute appendicitis is the most common non-obstetric surgical problem in pregnant patients. As minimally invasive surgery has developed,
minimizing surgical trauma and improving cosmetic outcomes have led to the development of single-port laparoscopic surgery (SPLS). The
aim of this study was to assess the feasibility and safety of SPLS for acute appendicitis during pregnancy.
Methods: Between September 2014 and May 2016, 12 pregnant patients diagnosed with acute appendicitis and having single-port laparoscopic
appendectomy were included in the study.
Results: The median gestational age at surgery was 16 weeks (6-30 weeks). All operations were completed safely and without vascular or visceral
injury. Four patients (33.3%) required conversion to a reduced-port laparoscopic surgery with 3 patients (25%) having a 5mm port inserted
because of perforated appendicitis with a drain placement, and 1 patient (8.3%) having a 2mm needle instrument insertion. Median
operation time was 60 minutes (32–100 minutes), and a drainage tube was placed in 5 patients (41.7%). Median total length of incision was
2.0cm (1.2–2.5cm).The median time to soft diet initiation and length of stay in the hospital were 1 day (0–9 days) and 5 days (2–11 days),
respectively. Two patients (8.0%) developed postoperative complications: 1 wound site bleeding and 2 surgical site infections. Onecase of
abortion (8.3%) was noted on postoperative day 1 and 1 case of imperforate hymen was noted after delivery.
Conclusion: SPLS appendectomy is feasible and safe for treating patients with acute appendicitis during pregnancy.
- Appendectomy; Laparoscopy; Pregnancy; Natural Orifice Endoscopic Surgery
- Appears in Collections:
- 1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
- Keimyung Author(s)
- 백성규; 정운경; 배성욱
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