A case-controlled comparison of single-site access versus

conventional three-port laparoscopic appendectomy

Anthony Yuen Bun Teoh, Philip Wai Yan Chiu, Tiffany Cho Lam Wong, Simon Kin Hung Wong,
et al. Surgical Endoscopy. New York: May 2011. Vol. 25, Iss. 5; pg. 1415

Abstract (Summary)

The aim of this study was to compare patients who underwent single-site access laparoscopic
appendectomy (SSALA) to those who underwent conventional three-port laparoscopic
appendectomy (TPLA) in a case-controlled manner.

Consecutive patients who underwent SSALA for suspected acute appendicitis between April and
September 2009 were retrospectively compared to those who underwent TPLA between January
and December 2008 in a case-controlled manner. The patients were matched for age, gender, and
pathological findings. The main outcome measurements included postoperative recovery,
morbidities, and mortalities.

During the study period, a total of 30 patients underwent SSALA and these were matched with
60 TPLA patients. There were no significant differences in the mean operative time, hospital
stay, and 30-day morbidity rate between the two groups. None of the patients required
conversion. Two patients with significant contamination and abscess collection noted during
SSALA required a relaparotomy for peritoneal lavage and adhesiolysis due to prolonged ileus.

SSALA is feasible and the perioperative outcome was comparable to that of TPLA. However,
future prospective studies will need to evaluate whether SSALA can adequately tackle patients
with significant peritoneal contamination.[PUBLICATION ABSTRACT]

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