A-Systematic review of feasibility and outcome of single-port laparoscopic appendectomy | ||||
| ARCADEs of MEDICINE | ||||
| Articles in Press, Accepted Manuscript, Available Online from 17 July 2025 | ||||
| Document Type: Review Articles | ||||
| DOI: 10.21608/arcmed.2025.373097.1110 | ||||
 View on SCiNiTO | ||||
| Author | ||||
Mohamed Mohamed Abdelaty 
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| AFCM | ||||
| Abstract | ||||
| Background: Since the advent of laparoscopic appendectomy, it has become a preferred alternative to traditional open appendectomy due to its advantages, such as reduced pain, minimal scarring, and faster recovery. The pursuit of further maximizing these benefits has led some surgeons to explore the single-incision laparoscopic approach for appendectomy. Single-port laparoscopic appendectomy (SPLA) which is an advance and feasible way in treating acute appendicitis, faces technical challenges, such as difficulty with triangulation, instrument manipulation, and occasional collisions due to parallel instrument entry. The assembly of the single-port platform can also lengthen operation time. While SPLA requires a learning curve, experienced surgeons achieve operation times comparable to conventional laparoscopy (CLA). Methods: This is a systematic review of previous prospective studies conducted on patients presented by non-complicated appendicitis , aged between 18 and 50 years, underwent a single-port laparoscopic appendectomy,using a 2 cm infraumbilical incision and the Covidien port. Dissection was performed with Ligasure, and an extracorporeal knot was used to secure the appendix stump before removal. Conclusion: SPLA offers benefits like decreased scarring, shorter hospitalization, and faster recovery but may not be suitable for complicated appendicitis or severe adhesions, potentially requiring conversion to multi-port or open surgery. Post operative complication rates are similar to conventional methods, and careful patient selection is important. Overall, SPLA is gaining popularity for its cosmetic and recovery benefits, with its safety and feasibility improving as surgical techniques advance. | ||||
| Keywords | ||||
| Single-port; Multiport-approach; laparoscopic appendectomy | ||||
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