Single-incision laparoscopic appendectomy for acute appendicitis using a 10-mm laparoscope and the glove port technique

Objective: to evaluate the single incision laparoscopic appendectomy (sila) using existing instruments,the 10-mm laparoscope,and glove port technique. methods: sila was performed on 16 patients (8 male cases,8 female cases) between june 2012 and september 2015. a 20-mm incision was made in the umbilicus and a wound retractor was placed. a 10-mm trocar for the laparoscope and two 5-mm trocars were fixed to the three fingers of the latex gloves and it was attached to the wound retractor. another thin forceps were inserted from right low abdomen. results: average age of patients was 32.6 ± 17.7 years. preoperative average white blood cell was 13,325 ± 4,584/mm3,and average crp was 1.81 ± 3.70 mg/dl. preoperative body temperature was 36.8 ± 0.5°c. the mean appendix size was 9.6 ± 2.3 mm and none of the patients had an abscess on preoperative ct. the ct also revealed a fecal pellet in 5/16 (31%) of patients. mean operation time was 66.4 ± 25.4 minutes,and minimal intraoperative bleeding was observed in all patients. average hospital stay was 5.3 ± 1.9 days and none of the patients had complications. conclusion: sila using the 10-mm laparoscope and glove port technique may be a safe and feasible operation for mild to moderate appendicitis. © 2017,professional medical publications. all rights reserved.