Open Access, Peer-reviewed
pISSN 2288-6575
eISSN 2288-6796
    J Korean Surg Soc. 2010 May;78(5):338-342. Korean.
    Published online May 10, 2010.
    https://doi.org/10.4174/jkss.2010.78.5.338
    Copyright © 2010 The Korean Surgical Society
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    Single-Port Laparoscopic Appendectomy

    Hyung Jin Kim, M.D., Jae Im Lee, M.D., Sang Chul Lee, M.D., Soo Hong Kim, M.D., In Kyu Lee, M.D., Yoon Suk Lee, M.D., Hyeon-Min Cho, M.D. and Seong Taek Oh, M.D.
      • Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
    • Corresponding author (Email: stoh@catholic.ac.kr )
    Received November 02, 2009; Accepted December 28, 2009.

    Abstract

    In the field of surgery, there are a large number of studies in progress for more minimally invasive surgery and cosmetic improvements. Among these studies, NOTES (natural orifice transluminal endoscopic surgery) and single-port laparoscopic surgery are the 2 studies attracting the most attention. Single-port laparoscopic surgery is a procedure where laparoscopic surgery is performed through a single incision at the umbilicus or another region. Until now, many kinds of surgeries were performed by single-port laparoscopy. In this article, the authors attempt to explain the procedures of single-port laparoscopic appendectomy in detail based on our experiences.

    Keywords
    Single-port; Laparoscopy; Appendectomy

    Figures

    Fig. 1
    Image of a single-port. It is created by inserting two 5 mm trocars, one 10 mm trocar, and one three-way catheter in the finger portion of the surgical glove.

    Fig. 2
    Appendix removal. The resected appendix was inserted and sealed in one of the fingers of the surgical glove.

    Fig. 3
    Smoke evacuation. Smoke can be removed easily using a three-way catheter.

    Fig. 4
    Trocars location. Placing the trocars in the center is a method to facilitate the operation.

    Fig. 5
    Laparoscope insertion. Trocar is first inserted through the umbilical wound, the laparoscope is placed into the peritoneal cavity, and lastly the trocar is removed from the peritoneal cavity.

    Fig. 6
    Postoperative wound. Two weeks after the operation; there is no scar visible.

    References

      1. Horgan S, Cullen JP, Talamini MA, Mintz Y, Ferreres A, Jacobsen GR, et al. Natural orifice surgery: initial clinical experience. Surg Endosc 2009;23:1512–1518.
      1. Kim HJ, Lee JI, Lee YS, Kang WK, Lee SK, You YK, et al. A case of single port laparoscopic appendectomy and cholecystectomy in a fresh cadaver: a feasible procedure. J Korean Soc Coloproctol 2009;25:59–62.
      1. Hong TH, Kim HL, Lee YS, Kim JJ, Lee KH, You YK, et al. Transumbilical single-port laparoscopic appendectomy (TUSPLA): scarless intracorporeal appendectomy. J Laparoendosc Adv Surg Tech A 2009;19:75–78.
      1. Kuon Lee S, You YK, Park JH, Kim HJ, Lee KK, Kim DG. Single-port transumbilical laparoscopic cholecystectomy: a preliminary study in 37 patients with gallbladder disease. J Laparoendosc Adv Surg Tech A 2009;19:495–499.
      1. White WM, Haber GP, Goel RK, Crouzet S, Stein RJ, Kaouk JH. Single-port urological surgery: single-center experience with the first 100 cases. Urology 2009;74:801–804.
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    MeSH Terms
    Appendectomy
    Cosmetics
    Laparoscopy
    Umbilicus
    Metrics
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