Preliminary Report of One-port Laparoscopy-assisted Extracorporeal Appendectomy in Adult Appendicitis

Abstract

In our pediatric surgery department, one-port laparoscopy-assisted appendectomy (one-port LAA) is currently a routine procedure for the treatment of acute appendicitis. The benefits of one-port LAA in pediatric surgery have been reported in the literature: it is safe, effective, fast, has a low complication rate, and provides excellent cosmetic results. The feasibility of this surgery in adolescents has already been proved in clinical practice. Only two reports(superscript 1, 2) of this surgery in adults have been published previously. The present study attempts to apply this technique in adult patients. This surgery was successfully performed on 12 patients with no postoperative complications. Only in one patient, the surgery was converted to a three-port laparoscopic appendectomy because of difficulty experienced in removing the appendix through one port. The benefits of the one-port LAA in adults are less postoperative pain, lower cost, and excellent cosmetic results. One-port LAA has proved to be an appropriate alternative procedure to other laparoscopic appendectomy techniques for the management of uncomplicated appendicitis in selected adult patients in our clinical practice.