Journal of Gastrointestinal Surgery

, Volume 18, Issue 2, pp 426–436

Single-Incision Versus Conventional Laparoscopic Appendectomy: A Meta-analysis of Randomized Controlled Trials

Authors

  • Jie Hua
    • Department of General Surgery, Shanghai Tenth People’s HospitalTongji University of Medicine
  • Jian Gong
    • Department of General Surgery, Shanghai Tenth People’s HospitalTongji University of Medicine
  • Bin Xu
    • Department of General Surgery, Shanghai Tenth People’s HospitalTongji University of Medicine
  • Tingsong Yang
    • Department of General Surgery, Shanghai Tenth People’s HospitalTongji University of Medicine
    • Department of General Surgery, Shanghai Tenth People’s HospitalTongji University of Medicine
Review Article

DOI: 10.1007/s11605-013-2328-9

Cite this article as:
Hua, J., Gong, J., Xu, B. et al. J Gastrointest Surg (2014) 18: 426. doi:10.1007/s11605-013-2328-9

Abstract

Background

Single-incision laparoscopic appendectomy (SILA) has gained enormous popularity worldwide. We conducted a meta-analysis to assess feasibility, safety, and benefits of SILA as compared with conventional laparoscopic appendectomy (CLA).

Methods

A literature search in MEDLINE, EMBASE, and Cochrane Library was performed to identify eligible randomized controlled trials (RCTs). Primary outcome measures were total postoperative complications, wound infection, intra-abdominal abscess, and ileus. Secondary outcome measures were operative time, length of hospital stay, pain scores, conversion rate, reoperation rate, and time to return to normal activity.

Results

Eight RCTs, totaling 1,211 patients (604 for SILA and 607 for CLA), met the inclusion criteria. The incidences of total postoperative complications, wound infection, intra-abdominal abscess, and ileus were statistically similar between the SILA and CLA groups. Compared with CLA, SILA was associated with a significantly longer operative time (weighted mean difference = 5.28 min; 95 % confidence interval = 3.61 to 6.94). Time to return to normal activity was shorter in the SILA group (by 0.69 days). Length of hospital stay, pain scores, conversion rate, and reoperation rate were similar between groups.

Conclusion

SILA is feasible and safe with no obvious advantages over CLA. Therefore, it may be considered as an alternative to CLA.

Keywords

Single-incision laparoscopic appendectomyConventional three-port laparoscopic appendectomyAppendicitisMeta-analysis

Copyright information

© The Society for Surgery of the Alimentary Tract 2013