Simple technique for gasless transumbilical single-incisional laparoscopic-assisted appendectomy.
OBJECTIVE
Single-incision laparoscopic surgery has recently received more attention. We developed a novel simple technique of gasless transumbilical single-incisional laparoscopic-assisted appendectomy (TUSILAA) and retrospectively analyzed our initial experience.


METHODS
TUSILAA has been attempted in 50 consecutive patients with acute appendicitis. The vertical incision through the umbilicus was used for laparoscopic access and the abdominal wall was lifted by a Kent retractor set system.


RESULTS
Our technique was successful in 45 out of 50 (90 %) patients. The median operating time was 59 min (range 35-140). The median length of postoperative hospital stay was 4 days (range 2-12). None of the cases were converted to open appendectomy. There were no perioperative surgical complications.


CONCLUSIONS
Our novel technique, gasless TUSILAA, is safe and feasible with acceptable operative time and excellent cosmetic result. Furthermore, this procedure has the advantage of cost-effectiveness since any disposable instruments including trocars, staplers, or expensive devices are not required. Therefore, this could be used as the first-choice surgical procedure for selected patients with uncomplicated acute appendicitis.
Department of Surgery, Nara Prefectural Mimuro Hospital, 1-14-16 Mimuro, Sango-cho, Ikoma-gun, Nara, Nara, 636-0802, Japan, nikeda928993@gmail.com.
Naoya
N
Ikeda
Masato
M
Ueno
Tetsuhiro
T
Kanamura
Masayuki
M
Sho
Yoshiyuki
Y
Sasaki
Koji
K
Enomoto
Tomohiro
T
Kunishige
Kazutaka
K
Nogi
Takaaki
T
Kosugi
Kenji
K
Nakagawa
Hiroshi
H
Sakaguchi
Shoko
S
Hidaka
Tomoko
T
Ochi
Yoshiyuki
Y
Nakajima
D000293:Adolescent; D000328:Adult; D000368:Aged; D001062:Appendectomy / Q000295:instrumentation / Q000379:methods*; D001064:Appendicitis / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D012189:Retrospective Studies; D016896:Treatment Outcome; D014472:Umbilicus / Q000601:surgery*; D055815:Young Adult