Monoport laparoscopic surgery with conventional equipment in the treatment of acute appendicitis

Authors

Keywords:

appendectomy, surgery, laparoscopy, single port

Abstract

Introduction: It has been a concern and permanent ambition of the surgeon to minimize access to the surgical area, to reduce the aggression to the patient’s biology.

Objective: To evaluate the results of laparoscopic appendectomy in acute appendicitis, using conventional equipment.

Methods: A case series study was carried out of patients treated for acute appendicitis, from June 2020 to July 2022. They underwent surgery with access through the umbilical scare through a single incision in the skin of two and three centimeters in the fascia, for the insertion of a ten-millimeter trocar and two five-millimeter trocars. Conventional equipment was used, the same that is used in multiport laparoscopy.

Results: Male sex and the 1 age group of 18 to 35 years predominated. The average surgical time was 40 minutes. 95% had little blood loss. The average hospital staying was 30.2 hours. Only two patients presented complications, of which one required surgical re-intervention. The putative advantages of this procedure are a greater esthetic result and a low cost, so appreciated in current times.

Conclusions: The use of conventional laparoscopic instruments allows performing appendectomy by a single port, with rates of postoperative complications similar to what is reported in the literature with specific devices, despite the decrease of maneuverability, which leads to the need for more meticulous dissection and extensive experience in laparoscopic surgery.

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Author Biographies

Yadiel Esteban Monet-Fernández, Hospital Universitario Clínico Quirúrgico Faustino Pérez Hernández. Matanzas

Especialista de segundo grado en Cirugía General Profesor Auxiliar

Mara Verónica Álvarez-Valdés, Universidad de Ciencias Médicas de Matanzas. Matanzas

Especiialista del primer grado en Medicina Interna Especialista de segundo grado en Terapia Intensiva y Emergencia Profesora Auxiliar Investigador Agregado

Alberto Denis-Pérez, Universidad de Ciencias Médicas de Matanzas. Matanzas

Especiialista de primer grado en Medicina Interna Especialista de segundo grado en Terapia Intensiva y Emergencia Profesor Auxiliar Investigador Agregado

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Published

2024-10-03

How to Cite

1.
Monet-Fernández YE, Álvarez-Valdés MV, Denis-Pérez A. Monoport laparoscopic surgery with conventional equipment in the treatment of acute appendicitis. Rev Méd Electrón [Internet]. 2024 Oct. 3 [cited 2025 Jan. 23];46:e6034. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/6034

Issue

Vol. 46 (2024)

Section

Research article

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