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Single-port laparoscopic appendectomy using new surgical procedure versus conventional three-port laparoscopic appendectomy

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Abstract

The aim of this study was to compare the clinic outcomes between new single-port laparoscopic appendectomy (NSLA) and conventional three-port laparoscopic appendectomy (CTLA) for patients with acute appendicitis. Patients who were diagnosed with acute appendicitis and underwent appendectomy were retrospectively collected from a single clinical center from September 2021 to June 2023. Baseline characteristics, surgical information, and postoperative information were compared between the NSLA group and the CTLA group. Univariate and multivariate logistic regression analyses were used to find out the predictors of overall complications. A total of 296 patients were enrolled from a single clinical medical center. There were 146 (49.3%) males and 150 (50.7%) females. There were 54 (18.2%) patients in the NSLA group and 242 (81.8%) patients in the CTLA group. After data analysis, we found the patients in the NSLA group had a shorter postoperative hospital stay (P < 0.01) than the CTLA group. The other outcomes including intraoperative blood loss (P = 0.167), operation time (P = 0.282), nature of the appendix (P = 0.971), and overall complications (P = 0.543) were not statistically different. After univariate and multivariate logistic regression analysis, we found that age (P = 0.018, OR = 1.039, 95% CI = 1.007–1.072), neutrophil percentage (P = 0.018, OR = 1.070, 95% CI = 1.011–1.132), and fever (P = 0.019, OR = 6.112, 95% CI = 1.340–27.886) were the predictors of overall complications. However, the surgical procedure (NSLA versus CTLA) was not a predictor of overall complications (P = 0.376, OR = 1.964, 95% CI = 0.440–8.768). Compared with CTLA, there was no significant increase in postoperative overall complications with NSLA, making it a safe and feasible new surgical procedure. More studies are needed to evaluate the long-term results.

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Data availability

The datasets used and analyzed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

The authors are grateful to all the colleagues who helped in the preparation of this article.

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Author notes

  1. Fei Liu, Quan Lv and Chun-Yi Wang are co-first authors.

Authors and Affiliations

  1. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China

    Fei Liu, Quan Lv, Chun-Yi Wang, Zi-Wei Li, Xu-Rui Liu & Dong Peng

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Contributions

Data extraction, FL and Z-WL; quality assessments, DP, WZ, and C-YW; data analysis, X-RL, Z-WL, and QL; writing the main manuscript text, FL; writing—review and editing, X-RL, Z-WL, X-YL, X-PS, L-SL, YT, and QL. DP prepared Figs. 1, 2, 3. All authors read and approved the final manuscript.

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Correspondence to Dong Peng.

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The study was approved by the ethics committee of our institution (The First Affiliated Hospital of Chongqing Medical University, K2023-339). This study was conducted in accordance with the World Medical Association Declaration of Helsinki as well.

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Liu, F., Lv, Q., Wang, CY. et al. Single-port laparoscopic appendectomy using new surgical procedure versus conventional three-port laparoscopic appendectomy. Updates Surg (2024). https://doi.org/10.1007/s13304-024-01775-w

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