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Cirugía y cirujanos

On-line version ISSN 2444-054XPrint version ISSN 0009-7411

Abstract

CABRERA, Luis F. et al. Evaluation of factors associated with formation of intra-abdominal collections in single-port appendectomy for complicated acute appendicitis. Cir. cir. [online]. 2021, vol.89, n.3, pp.384-389.  Epub Nov 03, 2021. ISSN 2444-054X.  https://doi.org/10.24875/ciru.20000475.

Objective:

To compare the decreases between the appendectomy by single port vs. multiport laparoscopy and to establish if there is a difference in the risk of postoperative intra-abdominal collection.

Method:

Retrospective study was carried out using 116 medical records of patients undergoing laparoscopic appendectomy through a single port and multiport in two medical centers.

Results:

12 (10.3%) patients developed an abdominal collection. No differences were found between the two techniques in terms of intra-abdominal collection development (p = 0.242), there was no difference between the two techniques in terms of intraoperative bleeding (p = 0.012), the surgical time was greater in the single-port group (17.4 min on average). 62.5% of patients with bleeding > 50 mL developed intra-abdominal collection.

Conclusions:

There was no evidence of superiority of either of the two interventions in complicated appendicitis, but it does confirm that single-port laparoscopic appendectomy is a safe, feasible, noninferior procedure and with similar complication rates compared to the conventional laparoscopic appendectomy technique.

Keywords : Surgery; Single port; Laparoscopic; Appendectomy.

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