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A prospective randomized controlled study comparing patient-reported scar evaluation of single-port versus multiport laparoscopic appendectomy for acute appendicitis

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Author(s)
Kyeong Eui KimIn Soo ChoSung Uk BaeWoon Kyung JeongHyung Jin KimSeong Kyu Baek
Keimyung Author(s)
Bae, Sung UkJeong, Woon KyungBaek, Seong Kyu
Department
Dept. of Surgery (외과학)
Journal Title
J Minim Invasive Surg
Issued Date
2023
Volume
26
Issue
2
Keyword
AppendectomyCosmetic techniquesLaparoscopyNatural orifice endoscopic surgeryOctyl 2-cyanoacrylate
Abstract
Purpose:
This study aimed to compare the postoperative outcomes and patient-surveyed scar assessments of single-port laparoscopic appendectomy (SPLA) with the outcomes of multiport laparoscopic appendectomy (MPLA).

Methods:
Between August 2014 and November 2017, the prospective randomized study comprised 98 patients diagnosed with acute appendicitis and indicated for surgery. Fifty-one patients had MPLA and 47 patients received SPLA. The primary endpoint was the total score of Patient Scar Assessment Questionnaire (PSAQ) administered to patients 6 weeks after surgery.

Results:
SPLA involved a shorter median operative time than MPLA (47.5 minutes vs. 60.0 minutes, p = 0.02). There were no apparent differences in the time before diet tolerance, length of hospital stay, and postoperative complication. SPLA patients had shorter total incision length (2.0 cm vs. 2.5 cm, p < 0.01) and required fewer analgesics on the day of surgery than MPLA patients (p = 0.011). The PSAQ favored the SPLA approach, revealing significant differences in total score (48 vs. 55, p = 0.026), appearance (15 vs. 18, p = 0.002), and consciousness (8 vs. 10, p = 0.005), while satisfaction with appearance and symptoms scale did not (p = 0.162 and p = 0.690, respectively).

Conclusion:
The postoperative scar evaluated by the patient was better with SPLA than with MPLA, and patient satisfaction with the scar was comparable between the two techniques.
Keimyung Author(s)(Kor)
배성욱
정운경
백성규
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2234-5248
Source
https://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2023.26.2.55
DOI
10.7602/jmis.2023.26.2.55
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/45249
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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