Comparative study on surgical outcomes and operative costs of transumbilical single-port laparoscopic appendectomy versus conventional laparoscopic appendectomy in adult patients.
OBJECTIVE
To reduce the incisional morbidity and improve cosmesis, the authors adopted a single-port laparoscopic appendectomy using a unique "single-port". The authors retrospectively evaluated transumbilical single-port laparoscopic appendectomy (TUSPLA) against conventional laparoscopic appendectomy (CLA) with respect to perioperative outcomes and operative cost in the adult patients.


METHODS
The authors reviewed the case of laparoscopic appendectomy between April 2008 and January 2009. Demographic data, operating time, pathology of appendix, hospital stay, surgical morbidities, visual analogue scale pain scores, analgesics requirements, and the operative cost were compared.


RESULTS
Seventy-two underwent TUSPLA and 108 underwent CLA. There were more females in the TUSPLA group. Surgical outcomes were similar between the TUSPLA and the CLA group. Operative cost was significantly lower in the TUSPLA group compared with the CLA group.


CONCLUSIONS
This study showed that TUSPLA was cost saving and produced similar surgical outcomes in selected appendicitis patients compared with CLA.
Lee
Yoon Suk
YS
Department of Surgery, Incheon St. Mary's Hospital, Korea.
Kim
Ji Hun
JH
Moon
Eun Jung
EJ
Kim
Jin Jo
JJ
Lee
Keun Ho
KH
Oh
Se Jung
SJ
Park
Seung Man
SM
Hong
Tae Ho
TH
D000328:Adult; D001062:Appendectomy / Q000009:adverse effects / Q000191:economics* / Q000295:instrumentation / Q000379:methods; D001064:Appendicitis / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000191:economics* / Q000379:methods; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D010147:Pain Measurement; D011183:Postoperative Complications / Q000191:economics; D056910:Republic of Korea; D012189:Retrospective Studies; D016896:Treatment Outcome