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  • Title: Simple technique for gasless transumbilical single-incisional laparoscopic-assisted appendectomy.
    Author: Ikeda N, Ueno M, Kanamura T, Sho M, Sasaki Y, Enomoto K, Kunishige T, Nogi K, Kosugi T, Nakagawa K, Sakaguchi H, Hidaka S, Ochi T, Nakajima Y.
    Journal: Langenbecks Arch Surg; 2014 Mar; 399(3):359-66. PubMed ID: 24449261.
    Abstract:
    PURPOSE: Single-incision laparoscopic surgery has recently received more attention. We developed a novel simple technique of gasless transumbilical single-incisional laparoscopic-assisted appendectomy (TUSILAA) and retrospectively analyzed our initial experience. METHODS: TUSILAA has been attempted in 50 consecutive patients with acute appendicitis. The vertical incision through the umbilicus was used for laparoscopic access and the abdominal wall was lifted by a Kent retractor set system. RESULTS: Our technique was successful in 45 out of 50 (90 %) patients. The median operating time was 59 min (range 35-140). The median length of postoperative hospital stay was 4 days (range 2-12). None of the cases were converted to open appendectomy. There were no perioperative surgical complications. CONCLUSIONS: Our novel technique, gasless TUSILAA, is safe and feasible with acceptable operative time and excellent cosmetic result. Furthermore, this procedure has the advantage of cost-effectiveness since any disposable instruments including trocars, staplers, or expensive devices are not required. Therefore, this could be used as the first-choice surgical procedure for selected patients with uncomplicated acute appendicitis.
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