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Published: 2023-03-31
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DOI: https://doi.org/10.52852/tcncyh.v164i3.1488
Issue
Vol. 164 No. 3 (2023)
Section
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How to Cite
Sơn, T. Q., Quốc, Đặng H. ., Hùng, T. M. ., Học, T. H. ., Trường, T. V. ., Hà, N. L. N. ., Quyết, N. C. ., Kiên, N. T. ., Minh, Đỗ Đức ., Đức, N. T. ., Tuyến, P. V. ., Cường, Đỗ Đăng ., Hòa, B. T. T. ., Nhã, V. T. ., Phương, N. T. M. ., Ngọc, D. T. H. ., & Thắng, N. T. . (2023). 24. Transumbilical single-incision laparoscopic appendectomy utilizing glove-port versus three-port laparoscopic appendectomy: A retrospective study of 140 emergency surgery patients. Journal of Medical Research, 164(3), 195-206. https://doi.org/10.52852/tcncyh.v164i3.1488

24. Transumbilical single-incision laparoscopic appendectomy utilizing glove-port versus three-port laparoscopic appendectomy: A retrospective study of 140 emergency surgery patients

Tran Que Son, Dang Hoang Quoc, Tran Manh Hung, Tran Hieu Hoc, Trieu Van Truong, Nguyen Le Ngoc Ha, Nguyen Chien Quyet, Nguyen Trung Kien, Do Duc Minh, Nguyen Thi Duc, Phung Van Tuyen, Do Dang Cuong, Bui Thi Thuy Hoa, Vu Thi Nha, Nguyen Thi Mai Phuong, Duong Thi Hong Ngoc, Nguyen Toan Thang

Main Article Content

Abstract

The study compared the results of single-incision laparoscopic appendectomy (SILA) using Glove-Port and three-port laparoscopic appendectomy (TLA). We conducted a retrospective clinical intervention research with a total of 140 patients divided into two groups with an equal number of patients. This research was done at Bach Mai Hospital between January 1, 2021 and December 31, 2022. The severity of grade IV and V appendicitis was more significant in the TLA versus SILA group (22.8% vs 8.5%, p = 0.020). The SILA and TLA groups' hospitalisation stay was 2.8 vs 3.7 days, respectively (p = 0.020). There was no difference between the two groups in terms of operation time (40.8 vs 42 minutes, p = 0.693), surgical conversion rate (2.8% vs 0%, p = 0.496), morbidity (1.4% vs 2.9%, p = 0.513) and wound infection (2.9% vs 4.3%, p = 1,000). The time period to the resumption of oral intake of the TLA and SILA groups was 2.2 vs 1.5 days, respectively (p = 0.000). The operating duration of the SILA group decreased after the first 20 cases to 48.3, 39, 36.8 and 37.3 minutes, respectively. The results showed that transferring laparoscopic surgery from conventional three-port laparoscopic appendectomy to SILA using a Glove-Port is feasible and effective in treating acute appendicitis. However, single-incision laparoscopic should be indicated for cases without severe complications.

Article Details

Author Biographies

Dang Hoang Quoc,

 

 

Tran Manh Hung,

 

 

Tran Hieu Hoc,

 

 

Trieu Van Truong,

 

 

Nguyen Le Ngoc Ha,

 

 

Nguyen Chien Quyet,

 

 

Nguyen Trung Kien,

 

 

Do Duc Minh,

 

 

Do Dang Cuong,

 

 

Bui Thi Thuy Hoa,

 

 

Vu Thi Nha,

 

 

Nguyen Toan Thang,

 

 

Keywords

Appendectomy, Laparoscopy, Umbilicus, Glove-Port, Single-incision

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