Single-Port Appendectomy Periprocedural Care

1. Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990 Nov. 132 (5):910-25. [QxMD MEDLINE Link].

2. Semm K. Endoscopic appendectomy. Endoscopy. 1983 Mar. 15 (2):59-64. [QxMD MEDLINE Link].

3. Kang BM, Hwang JW, Ryu BY. Single-port laparoscopic surgery in acute appendicitis: retrospective comparative analysis for 618 patients. Surg Endosc. 2016 Nov. 30 (11):4968-4975. [QxMD MEDLINE Link].

4. Schier F. Laparoscopic appendectomy with 1.7-mm instruments. Pediatr Surg Int. 1998 Nov. 14 (1-2):142-3. [QxMD MEDLINE Link].

5. Fazili FM, Al-Bouq Y, El-Hassan OM, Gaffar HF. Laparoscope-assisted appendectomy in adults: the two-trocar technique. Ann Saudi Med. 2006 Mar-Apr. 26 (2):100-4. [QxMD MEDLINE Link].

6. Meyer A, Preuss M, Roesler S, Lainka M, Omlor G. [Transumbilical laparoscopic-assisted "one-trocar" appendectomy -- TULAA -- as an alternative operation method in the treatment of appendicitis]. Zentralbl Chir. 2004 Oct. 129 (5):391-5. [QxMD MEDLINE Link].

7. Ateş O, Hakgüder G, Olguner M, Akgür FM. Single-port laparoscopic appendectomy conducted intracorporeally with the aid of a transabdominal sling suture. J Pediatr Surg. 2007 Jun. 42 (6):1071-4. [QxMD MEDLINE Link].

8. Baik SM, Hong KS, Kim YI. A comparison of transumbilical single-port laparoscopic appendectomy and conventional three-port laparoscopic appendectomy: from the diagnosis to the hospital cost. J Korean Surg Soc. 2013 Aug. 85 (2):68-74. [QxMD MEDLINE Link]. [Full Text].

9. Park J, Kwak H, Kim SG, Lee S. Single-port laparoscopic appendectomy: comparison with conventional laparoscopic appendectomy. J Laparoendosc Adv Surg Tech A. 2012 Mar. 22 (2):142-5. [QxMD MEDLINE Link].

10. Valla J, Ordorica-Flores RM, Steyaert H, Merrot T, Bartels A, Breaud J, et al. Umbilical one-puncture laparoscopic-assisted appendectomy in children. Surg Endosc. 1999 Jan. 13 (1):83-5. [QxMD MEDLINE Link].

11. D'Alessio A, Piro E, Tadini B, Beretta F. One-trocar transumbilical laparoscopic-assisted appendectomy in children: our experience. Eur J Pediatr Surg. 2002 Feb. 12 (1):24-7. [QxMD MEDLINE Link].

12. Mohan A, Guerron AD, Karam PA, Worley S, Seifarth FG. Laparoscopic Extracorporeal Appendectomy in Overweight and Obese Children. JSLS. 2016 Apr-Jun. 20 (2):[QxMD MEDLINE Link]. [Full Text].

13. Mohan A, Karam PA, Buta MR, Worley S, Seifarth FG. Transumbilical laparoscopically assisted extracorporeal appendectomy in children and young adults: A retrospective cohort study. Int J Surg. 2016 Dec. 36 (Pt A):261-264. [QxMD MEDLINE Link].

14. Carus T. Current advances in single-port laparoscopic surgery. Langenbecks Arch Surg. 2013 Oct. 398 (7):925-9. [QxMD MEDLINE Link].

15. Roberts KE. True single-port appendectomy: first experience with the "puppeteer technique". Surg Endosc. 2009 Aug. 23 (8):1825-30. [QxMD MEDLINE Link].

16. Liang HH, Hung CS, Wang W, Tam KW, Chang CC, Liu HH, et al. Single-incision versus conventional laparoscopic appendectomy in 688 patients: a retrospective comparative analysis. Can J Surg. 2014 Jun. 57 (3):E89-97. [QxMD MEDLINE Link]. [Full Text].

17. Choi GJ, Kang H, Kim BG, Choi YS, Kim JY, Lee S. Pain after single-incision versus conventional laparoscopic appendectomy: a propensity-matched analysis. J Surg Res. 2017 May 15. 212:122-129. [QxMD MEDLINE Link].

18. Qiu J, Yuan H, Chen S, He Z, Wu H. Single-port laparoscopic appendectomy versus conventional laparoscopic appendectomy: evidence from randomized controlled trials and nonrandomized comparative studies. Surg Laparosc Endosc Percutan Tech. 2014 Feb. 24 (1):12-21. [QxMD MEDLINE Link].

19. Antoniou SA, Koch OO, Antoniou GA, Lasithiotakis K, Chalkiadakis GE, Pointner R, et al. Meta-analysis of randomized trials on single-incision laparoscopic versus conventional laparoscopic appendectomy. Am J Surg. 2014 Apr. 207 (4):613-22. [QxMD MEDLINE Link].

20. Zhang Z, Wang Y, Liu R, Zhao L, Liu H, Zhang J, et al. Systematic review and meta-analysis of single-incision versus conventional laparoscopic appendectomy in children. J Pediatr Surg. 2015 Sep. 50 (9):1600-9. [QxMD MEDLINE Link].

21. Boo YJ, Lee Y, Lee JS. Comparison of transumbilical laparoscopic-assisted appendectomy versus single incision laparoscopic appendectomy in children: which is the better surgical option?. J Pediatr Surg. 2016 Aug. 51 (8):1288-91. [QxMD MEDLINE Link].

22. Karakuş OZ, Ulusoy O, Ateş O, Hakgüder G, Olguner M, Akgür FM. Conventional single-port laparoscopic appendectomy for complicated appendicitis in children: Efficient and cost-effective. J Minim Access Surg. 2016 Jan-Mar. 12 (1):16-21. [QxMD MEDLINE Link].

23. Yu J, Wang YN, Hu YF, Cheng X, Zhen L, Li GX. Single-incision laparoscopic appendectomy performed above the pubic symphysis - a new scarless approach. Minim Invasive Ther Allied Technol. 2011 Jan. 20 (1):18-21. [QxMD MEDLINE Link].

24. Zhang Z, Wang Y, Liu R, Zhao L, Liu H, Zhang J, et al. Suprapubic single-incision versus conventional laparoscopic appendectomy. J Surg Res. 2016 Jan. 200 (1):131-8. [QxMD MEDLINE Link].

25. 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 Feb. 19(1):75-8. [QxMD MEDLINE Link].

26. Varshney S, Sewkani A, Vyas S, Sharma S, Kapoor S, Naik S. Single-port transumbilical laparoscopic-assisted appendectomy. Indian J Gastroenterol. 2007 Jul-Aug. 26(4):192. [QxMD MEDLINE Link].

27. Rehman H, Rao AM, Ahmed I. Single incision versus conventional multi-incision appendicectomy for suspected appendicitis. Cochrane Database Syst Rev. 2011 Jul 6. CD009022. [QxMD MEDLINE Link].

28. Raakow R, Jacob DA. Initial experience in laparoscopic single-port appendectomy: a pilot study. Dig Surg. 2011. 28 (1):74-9. [QxMD MEDLINE Link].

29. Teoh AY, Chiu PW, Wong TC, Wong SK, Lai PB, Ng EK. A case-controlled comparison of single-site access versus conventional three-port laparoscopic appendectomy. Surg Endosc. 2011 May. 25(5):1415-9. [QxMD MEDLINE Link].

30. Carter JT, Kaplan JA, Nguyen JN, Lin MY, Rogers SJ, Harris HW. A prospective, randomized controlled trial of single-incision laparoscopic vs conventional 3-port laparoscopic appendectomy for treatment of acute appendicitis. J Am Coll Surg. 2014 May. 218 (5):950-9. [QxMD MEDLINE Link].

Kurt E Roberts, MD Associate Professor, Division of Bariatric and Minimally Invasive Surgery, Department of Surgery, Yale University School of Medicine; Chair, Department of Surgery, Saint Francis Hospital, Trinity Health of New England Medical Group

Kurt E Roberts, MD is a member of the following medical societies: American College of Surgeons, Society of American Gastrointestinal and Endoscopic Surgeons, Society of Laparoscopic and Robotic Surgeons

Disclosure: Nothing to disclose.

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Vikram Kate, MBBS, PhD, MS, FACS, FACG, FRCS, FRCS(Edin), FRCS(Glasg), FIMSA, FFST(Ed), MAMS, MASCRS Professor of General and Gastrointestinal Surgery and Senior Consultant Surgeon, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), India

Vikram Kate, MBBS, PhD, MS, FACS, FACG, FRCS, FRCS(Edin), FRCS(Glasg), FIMSA, FFST(Ed), MAMS, MASCRS is a member of the following medical societies: American College of Gastroenterology, American College of Surgeons, American Society of Colon and Rectal Surgeons, Fellow of the Faculty of Surgical Trainers (RCSEd), Royal College of Physicians and Surgeons of Glasgow, Royal College of Surgeons of Edinburgh, Royal College of Surgeons of England, Society for Surgery of the Alimentary Tract

Disclosure: Nothing to disclose.

The author thanks his wife, Annette, for her support in writing this article.

• Print this section
• Print the entire contents of
• Print the entire contents of article