外科ジャーナル

Can Single Incision Laparoscopic Appendectomy Replace the Traditional Three Port Laparoscopic Approach in Coming Future: A Review

Abstract

Manoj Chand, Ji Zhen Ling, Wang Dong and Prativa Dhungel

In this modern era, the major aims of most of the GI surgeons have been a minimal invasive approach towards surgery, thereby reducing the various complications associated with the surgery. Till now open appendectomy has been practiced a lot for the treatment of acute appendicitis. The 3port laparoscopic approach is widely used and now considered as a gold standard treatment for acute appendicitis currently the 3-port laparoscopic appendectomy. In recent years, laparoendoscopic single site surgery (LESS) has become a major focus of study, with even difficult procedures achieved using this technique, which uses a single port, rather than the traditional 3-ports for the removal of the diseased appendix laparoscopically known as Single Incision Laparoscopic Appendectomy (SILA). This is a comparatively minimal approach towards surgery as minimal invasive surgery. Therefore the purpose of this review is to compare the outcomes of SILA versus traditional 3-port laparoscopic appendectomy and hence giving an idea of whether SILA is an alternative to replace the traditional approach as the new treatment of choice in coming future.