COMPARISON OF OUTCOME IN SINGLE INCISION LAPAROSCOPIC APPENDECTOMY VERSUS CONVENTIONAL THREE PORT LAPAROSCOPIC APPENDECTOMY

摘要

Background: Minimal invasive surgery (MIS) is a modern and safe improvementin field of laparoscopic surgery. Single incision laparoscopic appendectomy (SILA) is a majorbreakthrough in MIS and has become standard procedure for acute appendicitis in place ofconventional three port laparoscopic appendectomy (CTLA). Objectives: To see the potentialadvantages in terms of operative time, duration of hospital stay, post-operative pain andcosmetic results in SILA and CTLA groups. Study Design: Randomized control study. Setting:Department of General Surgery in Allama Iqbal Medical College/ Jinnah Hospital Lahore.Period: July 2016 to June 2017. Materials and Methods: 48 patients were divided in twogroups; group SILA (cases) and CTLA (control). Each group comprised 24 patients. All caseswere performed by consultant who were competent enough and trained in MIS. Results: Wefound that there was statistically no difference in operative time (p0.05) and post-operativepain (p0.05) of both procedures but statistically significant outcome was observed in durationof hospital stay (p0.005) and cosmetic result (p 0.005). Post-operative analgesia usage wassame in both groups with similar outcome of control. Surgical wound healed in all patients ofboth groups without complication but noticeably had shown no scar mark on three monthsfollow up in patients of SILA group. Almost all patients in SILA group were discharged on sameday on oral diet. Conclusion: This study showed that results of SILA are better in terms ofcosmoses and less duration of hospital stay in the presence of non-significant operative time oftwo procedures. Staying with promise of minimizing in MIS to SILA, cosmetic satisfaction andminimal hospital stay are its comprehensible advantages.