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One year study of a single incision laparoscopic appendectomy Yoshiki SATO 1 , Kenji DODEN 1 , Yasumitsu HIRANO 1 , Kazuya MAEDA 1 , Masakazu HATTORI 1 , Yasuo HASHIDUME 1 1Department of Surgery, Fukui Prefectural Hospital Keyword: 検索用語:腹腔鏡下虫垂切除術 , 単孔式 , SILS pp.25-29
Published Date 2013/1/15
DOI https://doi.org/10.11477/mf.4426100889
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[Background] Single-incision laparoscopic appendectomy(SILA) via a vertical incision in the umbilical region has been performed for acute appendicitis at our hospital since November, 2010. We herein report and compare the results of SILA and laparotomy-appendectomy(OA). [Methods] A total of 97 patients underwent appendectomy at our hospital during the one-year period between November 2010 and October 2011. [Results] There were 41 patients in the SILA group and 56 patients in the OA group. There were no significant differences in the sex distribution, average body mass index, or preoperative peripheral blood leukocyte count between the two groups. Operative time was 69 minutes in the SILA group and 49minutes in the OA group; the mean operative time was longer in the SILA group. The mean length of hospital stay after surgery was shorter in the SILA group. While one patient in the OA group showed surgical site infection(SSI), none of the patients in the SILA group developed postoperative SSI. [Conclusion] Although the operative time for SILA tended to be somewhat longer than that for the conventional abdominal operation, the postoperative length of hospital stay was shorter, and the postoperative wound condition was significantly superior in the group treated by SILA. Furthermore, there was also no postoperative SSI in the group treated by SILA. Therefore, SILA is considered to be a useful operative method for appendectomy.


Copyright © 2013, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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