Annals of Surgery

Skip Navigation LinksHome > February 2013 - Volume 257 - Issue 2 > Single-Port Laparoscopic Appendectomy Versus Conventional La...
Annals of Surgery:
doi: 10.1097/SLA.0b013e318273bde4
Randomized Controlled Trials

Single-Port Laparoscopic Appendectomy Versus Conventional Laparoscopic Appendectomy: A Prospective Randomized Controlled Study

Lee, Won-Suk MD, PhD; Choi, Sang Tae MD; Lee, Jung Nam MD, PhD; Kim, Keon Kug MD; Park, Yeon Ho MD, PhD; Lee, Woon Kee MD, PhD; Baek, Jeong-Heum MD, PhD; Lee, Tae-Hoon MD, PhD

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Objective: To compare surgical outcomes and quality of life between single-port laparoscopic appendectomy (SPLA) and conventional laparoscopic appendectomy (CLA) in patients with acute appendicitis.

Background: A prospective randomized single center study was performed to compare the outcome of SPLA and CLA in patients with acute appendicitis.

Methods: A total of 248 patients were randomized, but because of 18 withdrawals, the outcome of 224 is analyzed, 116 in CLA and 114 in SPLA.

Results: There was no significant difference in the overall complication rate (P = 0.470). There were no significant differences in infectious complications between the SPLA group and the CLA group (10.2% and 12.4%, respectively). The wound complication rate between the 2 groups was not significant (5.1% and 10.6%, respectively; P = 0.207). Cosmetic satisfaction score, 36-item short-form health survey, and postoperative pain scores were not significantly different between 2 groups.

Conclusions: SPLA failed to show any advantages over CLA relative to pain and cosmesis. However, SPLA is as safe as CLA (RCT number 01348464).

© 2013 Lippincott Williams & Wilkins, Inc.


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