Single-port laparoscopic appendectomy for acute appendicitis during pregnancy

Authors
In Soo ChoSung Uk BaeWoon Kyung JeongSeong Kyu Baek
Department
Dept. of Surgery (외과학)
Issue Date
2018
Citation
대한외과학회 학술대회 초록집, Vol.() : 183-183, 2018
Abstract
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.
Keywords
AppendectomyLaparoscopyPregnancyNatural Orifice Endoscopic Surgery
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/41476
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
Keimyung Author(s)
백성규; 정운경; 배성욱
Full Text
http://www.dbpia.co.kr/Journal/ArticleDetail/NODE07583625
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