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Single-port laparoscopic appendectomy for perforated appendicitis using ArtiSential® wristed articulated instrument

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Author(s)
Sung Uk BaeWoon Kyung JeongSeong Kyu Baek
Keimyung Author(s)
Bae, Sung UkJeong, Woon KyungBaek, Seong Kyu
Department
Dept. of Surgery (외과학)
Journal Title
J Minim Access Surg
Issued Date
2023
Volume
19
Issue
1
Keyword
Appendectomylaparoscopynatural orifice endoscopic surgery
Abstract
Single-port laparoscopic appendectomy (SPLA) was firstly introduced in 1998 and has been suggested potential advantages including better cosmetic outcome, less post-operative pain and avoidance of possible haemorrhagic complications from injuring epigastric vessels. However, single-port laparoscopic approach using conventional straight instruments may lead to internal and external conflicts and ergonomic discomfort, and new laparoscopic articulating instruments were developed to overcome these limitations of straight instruments. The ArtiSential® (LIVSMED Inc., Republic of Korea) is an 8-mm diameter pistol-handle instrument that has complete articulating function like human wrist and intuitive controllability. We present a technical report of SPLA for perforated appendicitis using ArtiSential® wristed articulated instrument. A 78-year-old female with a body mass index of 23.5 was referred to our emergency room with right lower quadrant abdominal pain. Abdominal computed tomography scan showed a distended tubular structure in the right lower quadrant (1.2 cm in diameter) with periappendiceal fluid collection. The patient's clinical presentation was highly indicative of perforated acute appendicitis. We performed SPLA with ArtiSential® grasper with the left hand, and this instrument helped us to allow greater manoeuvrability and dexterity with double triangulation technique. The total operation time was 40 min, and the patient was discharged without complications on the 1st day after surgery.
Keimyung Author(s)(Kor)
배성욱
정운경
백성규
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
0972-9941
Source
https://journals.lww.com/jmas/Fulltext/2023/19010/Single_port_laparoscopic_appendectomy_for.28.aspx
DOI
10.4103/jmas.jmas_394_21
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44723
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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