Abstract: Purpose: To compare the operation situation and therapeutic effect of single-port laparoscopic appendectomy and traditional three-port laparoscopic appendectomy with conventional instruments.
Methods: A retrospective analysis was performed on patients diagnosed with acute appendicitis who underwent laparoscopic appendectomy from 2023 to 2024. Among them, 82 patients underwent single-port laparoscopic appendectomy. Among the patients who underwent traditional three-port laparoscopic appendectomy, 82 cases were selected as the control group using propensity matching. Collect the preoperative and intraoperative conditions of the two groups and compare the two groups, postoperative recovery, incision infection rate, and residual abdominal infection.
Results: Preoperative conditions of the two groups [age, sex, anesthesia risk score (ASA), body mass index (BMI), admission. There were no significant differences in body temperature, white blood cell count, days of abdominal pain, concomitant diseases, and previous history of abdominal surgery]. A slightly higher proportion of complicated appendicitis (32.9%) was observed in the single-port group, and in the three-port group (25.6%), but the difference was not statistically significant (P=0.303). The average operation time of the single-port group (76.3 ± 32.9) min was significantly longer than that of the three-port group (59.5 ± 28.9) min (P=0.001), 6 cases were converted to three-port surgery. There was no conversion to laparotomy in both groups.
The postoperative eating time, days of antibiotic use, and days of hospitalization in the single-port group were significantly lower than those in the three-port group. There was no significant difference in wound infection rate and abdominal residual infection rate between the two groups.
Conclusion: Single-port laparoscopic appendectomy compared with traditional surgery three-port laparoscopic appendectomy, there is no increase in postoperative infection rate. However, in the treatment of complicated appendicitis, its clinical significance needs to be confirmed by more studies.
Keywords: single port; three-port, abdominal appendectomy; acute appendicitis.
Title: Clinical Comparison of Single-Port and Three-Port Laparoscopic Appendectomy
Author: TCHOMTE ROMEO MARTIAL, TCHUBESSI ERIC CHRISTIAN, LETTA ABBEH NYAMSI VIVIANE
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
Vol. 13, Issue 1, April 2025 - September 2025
Page No: 359-362
Research Publish Journals
Website: www.researchpublish.com
Published Date: 02-July-2025
