|
|
Annals of Bariatric Surgery، جلد ۳، شماره ۳، صفحات ۱۰۰-۱۱۰
|
|
|
| عنوان فارسی |
|
|
| چکیده فارسی مقاله |
|
|
| کلیدواژه‌های فارسی مقاله |
|
|
| عنوان انگلیسی |
Feasibility of Routine Single Incision Laparoscopic Appendectomy in UK District General Hospitals: A Prospective Study |
|
| چکیده انگلیسی مقاله |
Background Although many studies have demonstrated the feasibility of single-incision laparoscopic (SILS) appendectomy, this procedure has not become routine. In part this may be due to the perception that SILS appendectomy has additional resource requirements compared to conventional laparoscopic appendectomy in terms of personnel, time and equipment. Objectives The purpose of this prospective study was to assess the feasibility of a UK trainee performing routine SILS appendectomy with standard equipment. Patients and Methods Prospective analysis of all consecutive adults who underwent laparoscopy for presumed appendicitis was performed. Cases were performed either by a senior trainee who exclusively performed SILS appendectomy on all patients using standard laparoscopic equipment, or other senior or junior trainees performing a conventional three-port laparoscopic appendectomy. Results Seventeen patients had SILS operations: 15 appendectomies, one resection of inflamed Meckel’s diverticulum and one appendectomy with oophorectomy. SILS was successfully completed in 14 cases whilst in three cases one extra port was added. Comparison of the 15 SILS operations that involved an appendectomy only with consecutive cohorts of three-port appendectomies performed by junior and senior trainees showed no significant difference in complications or length of hospital stay. There was no significant difference in operating time between SILS and junior trainee (P = 0.54), however the senior trainees had a significantly reduced operating time as compared to both SILS and junior trainee groups (P = 0.01). Conclusions SILS appendectomy can be successfully performed by trainees on all-comers with comparable resource utilisation and clinical outcomes to those achieved by junior trainees performing a conventional three-port laparoscopic approach. |
|
| کلیدواژه‌های انگلیسی مقاله |
Appendectomy,Laparoscopy,Minimally Invasive Surgery,Surgery |
|
| نویسندگان مقاله |
| Emma Rose McGlone
'Department of General Surgery, St George’s Healthcare NHS Trust, London, UK
| Christian Wakefield
Department of Upper Gastrointestinal Surgery, Royal Hampshire County Hospital, Winchester, UK
| Amjad Parvaiz
| Omar Khan
'Department of General Surgery, St George’s Healthcare NHS Trust, London, UK
|
|
| نشانی اینترنتی |
http://annbsurg.iums.ac.ir/browse.php?a_code=A-10-31-137&slc_lang=en&sid=1 |
| فایل مقاله |
فایلی برای مقاله ذخیره نشده است |
| کد مقاله (doi) |
|
| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
Basic Science |
| نوع مقاله منتشر شده |
Original |
|
|
|
برگشت به:
صفحه اول پایگاه |
نسخه مرتبط |
نشریه مرتبط |
فهرست نشریات
|