eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Subscription Contact Instructions for authors Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
Search
Editorial Policies
Sarajevo Declaration on Integrity and Visibility of Scholarly Publications
2/2019
vol. 14
 
Share:
Send email
Share:
abstract:
Original paper

Risk factors for additional port insertion in single-port laparoscopic appendectomy

Kwang Woo Choi
,
Byung Kwan Park
,
Suk-Won Suh
,
Eun Sun Lee
,
Seung Eun Lee
,
Joong-Min Park
,
Yoo Shin Choi
,
Beom Gyu Kim
,
Yong Gum Park

Videosurgery Miniinv 2019; 14 (2): 223–228
DOI: https://doi.org/10.5114/wiitm.2018.77714
Online publish date: 2018/08/22
View full text Get citation
 
PlumX metrics:
Introduction
Single-port laparoscopic appendectomy (SPLA) was expected to have reduced risk of wound infection, less postoperative pain, and improved patient’s satisfaction with better cosmesis compared with conventional laparoscopic appendectomy (CLA). When SPLA is converted to CLA, the additional incision for another port insertion can lead to a decrease in the surgical advantages and clinical benefit.

Aim
To evaluate risk factors for conversion to CLA during SPLA.

Material and Methods
Between August 2015 and December 2016, patients who underwent intended SPLA were retrospectively reviewed. Conversion was defined as any insertion of an additional port, and complicated appendicitis was defined as gangrenous or perforated appendicitis, abscess, or peritonitis in preoperative computed tomography. Postoperative complication was defined as any deviation in the routine postoperative course within 30 days postoperatively.

Results
Of 409 patients, 65 (15.9%) were treated with additional port insertion. The overall complication rate was 1.5% in each group, of which 1 patient developed superficial SSI and 4 patients developed deep surgical site infections in the SPLA group. After univariable and multivariable analysis, old age, male sex, increased serum C-reactive protein (OR = 2.944; 95% CI: 1.433–6.047; p = 0.003), and complicated appendicitis (OR = 3.330; 95% CI: 1.304–8.503; p = 0.012) were significant risk factors for conversion to CLA.

Conclusions
The conversion rate to CLA was 15.9%. Serum C-reactive protein level and complicated appendicitis were strong predictive factors for conversion from SPLA in acute appendicitis.

keywords:

appendectomy, risk factors, laparoscopy, appendicitis, single port, conversion
  
Termedia
About us Contact
Copyright notice Privacy policy Advertising policy Contact us
Quick links
Journals Books eBooks Events
© 2024 Termedia Sp. z o.o.
Developed by Bentus.