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Single-Port Laparoscopic Interval Appendectomy for Perforated Appendicitis With a Periappendiceal Abscess

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Author(s)
Sung Uk BaeWoon Kyung JeongSeong Kyu Baek
Keimyung Author(s)
Jeong, Woon KyungBaek, Seong KyuBae, Sung Uk
Department
Dept. of Surgery (외과학)
Journal Title
Annals of Coloproctology
Issued Date
2016
Volume
32
Issue
3
Keyword
LaparoscopyPerforated appendicitisAppendectomyNatural orifice endoscopic surgery
Abstract
Purpose: Nonoperative management followed by an interval appendectomy is a commonly used approach for treating patients with perforated appendicitis with abscess formation. As minimally-invasive surgery has developed, single-port laparoscopic surgery (SPLS) is increasingly being used to treat many conditions. We report our initial experience with this procedure using a multichannel single-port.
Methods: The study included 25 adults who underwent a single-port laparoscopic interval appendectomy for perforated appendicitis with periappendiceal abscess by using a single-port with or without needlescopic grasper between June 2014 and January 2016.
Results: Of the 25 patients, 9 (36%) required percutaneous drainage for a median of 7 days (5–14 days) after insertion, and 3 (12%) required conversion to reduced-port laparoscopic surgery with a 5-mm port insertion because of severe adhesions to adjacent organs. Of 22 patients undergoing SPLS, 13 underwent pure SPLS (52.0%) whereas 9 patients underwent SPLS with a 2-mm needle instrument (36.0%). Median operation time was 70 minutes (30–155 minutes), and a drainage tube was placed in 9 patients (36.0%). Median total length of incision was 2.5 cm (2.0–3.0 cm), and median time to soft diet initiation and length of stay in the hospital were 2 days (0–5 days) and 3 days (1–7 days), respectively. Two patients (8.0%) developed postoperative complications: 1 wound site bleeding and 1 surgical site infection.
Conclusion: Conservative management followed by a single-port laparoscopic interval appendectomy using a multichannel single-port appears feasible and safe for treating patients with acute perforated appendicitis with periappendiceal abscess.
Keimyung Author(s)(Kor)
정운경
백성규
배성욱
Publisher
School of Medicine
Citation
Sung Uk Bae et al. (2016). Single-Port Laparoscopic Interval Appendectomy for Perforated Appendicitis With a Periappendiceal Abscess. Annals of Coloproctology, 32(3), 105–110. doi: 10.3393/ac.2016.32.3.105
Type
Article
ISSN
2287-9714
DOI
10.3393/ac.2016.32.3.105
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33294
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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