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Simple technique for gasless transumbilical single-incisional laparoscopic-assisted appendectomy

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Abstract

Purpose

Single-incision laparoscopic surgery has recently received more attention. We developed a novel simple technique of gasless transumbilical single-incisional laparoscopic-assisted appendectomy (TUSILAA) and retrospectively analyzed our initial experience.

Methods

TUSILAA has been attempted in 50 consecutive patients with acute appendicitis. The vertical incision through the umbilicus was used for laparoscopic access and the abdominal wall was lifted by a Kent retractor set system.

Results

Our technique was successful in 45 out of 50 (90 %) patients. The median operating time was 59 min (range 35–140). The median length of postoperative hospital stay was 4 days (range 2–12). None of the cases were converted to open appendectomy. There were no perioperative surgical complications.

Conclusions

Our novel technique, gasless TUSILAA, is safe and feasible with acceptable operative time and excellent cosmetic result. Furthermore, this procedure has the advantage of cost-effectiveness since any disposable instruments including trocars, staplers, or expensive devices are not required. Therefore, this could be used as the first-choice surgical procedure for selected patients with uncomplicated acute appendicitis.

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Conflicts of interest

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Authors and Affiliations

  1. Department of Surgery, Nara Prefectural Mimuro Hospital, 1-14-16 Mimuro, Sango-cho, Ikoma-gun, Nara, Nara, 636-0802, Japan

    Naoya Ikeda, Masato Ueno, Tetsuhiro Kanamura, Yoshiyuki Sasaki, Koji Enomoto, Tomohiro Kunishige, Kazutaka Nogi, Takaaki Kosugi & Kenji Nakagawa

  2. Department of Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan

    Masayuki Sho & Yoshiyuki Nakajima

  3. Department of Radiology, Nara Prefectural Mimuro Hospital, 1-14-16 Mimuro, Sango-cho, Ikoma-gun, Nara, Nara, 636-0802, Japan

    Hiroshi Sakaguchi, Shoko Hidaka & Tomoko Ochi

Authors
  1. Naoya Ikeda
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  2. Masato Ueno
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  3. Tetsuhiro Kanamura
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  4. Masayuki Sho
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  5. Yoshiyuki Sasaki
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  11. Hiroshi Sakaguchi
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  13. Tomoko Ochi
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  14. Yoshiyuki Nakajima
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Corresponding author

Correspondence to Naoya Ikeda.

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Ikeda, N., Ueno, M., Kanamura, T. et al. Simple technique for gasless transumbilical single-incisional laparoscopic-assisted appendectomy. Langenbecks Arch Surg 399, 359–366 (2014). https://doi.org/10.1007/s00423-014-1164-z

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  • DOI: https://doi.org/10.1007/s00423-014-1164-z

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