Annals of Coloproctology

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Original Article

Benign GI diease,Surgical technique

Laparoscopic Hartmann’s Reversal: Application of a Single-Port Approach Through the Colostomy Site: Byung Mo Kang, Chang Woo Kim, Suk-Hwan Lee; Ann Coloproctol. 2021;37(1):29-34. Published online December 4, 2020; DOI: https://doi.org/10.3393/ac.2020.09.21

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6 Citations

Purpose
Recently, laparoscopic reversal of Hartmann’s colostomy was performed with favorable outcomes by many surgeons. We partially applied the concepts of single-port laparoscopic procedure through the colostomy site to remove intraperitoneal adhesion during initial step of the laparoscopic Hartmann’s reversal. This study aimed to evaluate the feasibility and safety of the laparoscopic reversal of Hartmann’s colostomy with the application of single-port laparoscopic techniques through the colostomy site.
Methods
From October 2008 to November 2018, the laparoscopic Hartmann’s reversal was attempted in 20 patients. After colostomy take-downs, the single-port device was installed at the colostomy site and the single-port laparoscopic procedure was performed to remove intraperitoneal adhesions to provide space for additional trocars. After additional trocars were inserted, the descending colon and rectal stump were mobilized, and the colorectal anastomosis was completed. We retrospectively reviewed the medical records and analyzed the data to identify the perioperative complication rates as the primary outcome.
Results
Of the 20 patients, 3 patients (15.0%) had open conversions due to severe adhesions. Intraoperative small bowel injuries occurred in 2 patients (10.0%) and these were repaired through the colostomy site. Postoperative complications developed in 4 patients (20.0%) and were managed with medical treatments or wound closures under local anesthesia.
Conclusion
The single-port laparoscopic procedure through the colostomy site is sufficiently safe in order to complete the Hartmann’s reversal. We recommend that the colostomy site should be used as the access route into the abdominal cavity for the Hartmann’s reversal.

Citations

Citations to this article as recorded by

Single‐port laparoscopic reversal of Hartmann's procedure through the colostomy site: technical aspects and early postoperative outcomes
Ahmet Akmercan, Tayfun Akmercan, Tevfik Kıvılcım Uprak
ANZ Journal of Surgery.2025; 95(1-2): 151. CrossRef
Handmade Single-Port Laparoscopic Hartmann’s Stoma Reversal Procedure
Ahmet Akmercan, Ali Hajali, Tevfik Kıvılcım Uprak
Videoscopy.2025; 35(1): 1. CrossRef
Impact of single-port laparoscopic approach on scar assessment by patients and observers: a multicenter retrospective study
Sung Uk Bae, Kyeong Eui Kim, Chang-Woo Kim, Ji-Hoon Kim, Woon Kyung Jeong, Yoon-Suk Lee, Seong Kyu Baek, Suk-Hwan Lee, Jun-Gi Kim
Annals of Coloproctology.2025; 41(2): 154. CrossRef
Comparison between liquid skin adhesive and wound closure strip for skin closure after subcuticular suturing in single-port laparoscopic appendectomy: a single-center retrospective study in Korea
Kyeong Eui Kim, Yu Ra Jeon, Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek
Journal of Minimally Invasive Surgery.2024; 27(1): 14. CrossRef
The Latest Results and Future Directions of Research for Enhanced Recovery after Surgery in the Field of Colorectal Surgery
Min Ki Kim
The Ewha Medical Journal.2023;[Epub] CrossRef
Laparoskopische Kontinuitätswiederherstellung nach der Hartmann-Operation
Andreas Türler, Nicola Cerasani, Haug-Lambert Loriz, Xenia Kemper, Moritz Weckbecker, Maike Derenbach, Anna Krappitz
coloproctology.2022; 44(1): 35. CrossRef

Case Report

Malignant disease,Benign diesease & IBD,Rare disease & stoma

Actinomycosis of the Appendix Mimicking Cecal Tumor Treated by Single-Port Laparoscopic Approach: In Soo Cho, Sung Uk Bae, Hye Ra Jung, Kyung Sik Park, Woon Kyung Jeong, Seong Kyu Baek; Ann Coloproctol. 2021;37(2):125-128. Published online March 16, 2020; DOI: https://doi.org/10.3393/ac.2019.08.10.1

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5 Citations

Abstract PDF

Actinomycosis is an inflammatory disease with various clinical presentations including inflammation and formation of masses. There are several reports suggesting the infiltrative mass-like nature of actinomycosis that is misunderstood as a tumor. A 39-year-old male clinically presented with a fungating mass-like lesion during colonoscopy for healthcare screening. Biopsy was performed for the lesion, and chronic inflammation was diagnosed. Abdominal computed tomography (CT) suggested severe edematous changes in the appendix with an appendicolith, suspected chronic inflammation, and wall thickening of the cecal base, but malignancy could not be definitively ruled out. The patient underwent a laparoscopic single-port cecectomy based on the possibility of cecal cancer. The final biopsy was diagnosed as actinomycosis, and the patient was prescribed antibiotics and showed no recurrence in the follow-up CT scan. We present this rare case of mass-like appendiceal actinomycosis treated with the single-port laparoscopic method.

Citations

Citations to this article as recorded by

Appendiceal actinomycosis mimicking malignant tumor: a rare case report
Nathan Khabyeh-Hasbani, Sivan Zino, Elena Dima, Shmuel Avital
Annals of Medicine & Surgery.2024; 86(2): 1076. CrossRef
Laparoscopic Cecectomy for Diseases of the Appendix and Cecum
Muharrem Oner, Maher A. Abbas
Journal of Coloproctology.2023; 43(04): e256. CrossRef
Appendiceal actinomycosis presenting as acute appendicitis: A diagnostic and therapeutic challenge
SP Tendulkar, PA Jain, MG Mehta, S George
Journal of Postgraduate Medicine.2023; 69(1): 63. CrossRef
Benign multicystic mesothelioma of appendiceal origin treated by hyperthermic intraperitoneal chemotherapy: A case report
Suk Jun Lee, Ji Hae Nahm, Jeonghyun Kang, Seung Hyuk Baik, Eun Jung Park
International Journal of Surgery Case Reports.2022; 99: 107665. CrossRef
Abdominal Actinomycosis Abscess Presenting as an Isolated Gastrointestinal Pseudotumor
Danisa Clarrett, Jennifer Michelle Ray, Jason R. Taylor
ACG Case Reports Journal.2021; 8(11): e00672. CrossRef

Original Articles

Malignant disease, Functional outcomes

Safety and Efficacy of Single-Port Laparoscopic Ileostomy in Palliative Settings: Seng-Muk Kang, Jung Rae Cho, Heung-Kwon Oh, Eun-Ju Lee, Min Hyun Kim, Duck-Woo Kim, Sung-Bum Kang; Ann Coloproctol. 2020;36(1):17-21. Published online February 29, 2020; DOI: https://doi.org/10.3393/ac.2019.04.25

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1 Web of Science
2 Citations

Abstract PDF

Purpose
Single-port laparoscopic techniques can be optimized with confined incisions. This approach has an intraoperative advantage of excellent visualization of the correct intestinal segment for exteriorization, along with direct visual control of the extraction to avoid twisting. However, only a few studies have verified the efficacy of the technique. Thus, this study assessed the results of single-port laparoscopic stoma creation for fecal diversion, specifically focusing on feasibility, safety, and efficacy.
Methods
Patients who underwent single-incision enterostomy performed by a single surgeon were included. Data on demographics, indications for and chosen procedure, and operation results were retrospectively collected and analyzed.
Results
Between April 2015 and January 2018, a total of 13 patients (8 males, 5 females) with a mean age of 57.7 years (range, 41–83 years) underwent single-port ileostomy creation. The most common reason for diversion was palliative ileostomy for colon obstruction or fistula from peritoneal malignancy (n = 12), followed by colonic fistula with necrotizing pancreatitis (n = 1). There were no cases of conversion to open or multiport laparoscopic surgery. The mean operative time was 54 minutes (range, 37–118 minutes), and the median length of hospital stay was 8 days (range, 2–211 days). A postoperative complication, aspiration pneumonia, was documented in 1 patient and treated conservatively. The mean duration of bowel movement was 0.7 days (range, 0–4 days). All stomas had good function, and there was no 30-day mortality.
Conclusion
Single-port laparoscopic ileostomy in patients with a palliative setting could be a safe and feasible option for fecal diversion.

Citations

Citations to this article as recorded by

Single port–assisted diverting ileostomy formation for anastomotic leakage after low anterior resection
Kyong-Min Kang, Heung-Kwon Oh, Hong-min Ahn, Hye-Rim Shin, Min-Hyeong Jo, Mi-Jeong Choi, Duck-Woo Kim, Sung-Bum Kang
Journal of Minimally Invasive Surgery.2025; 28(1): 47. CrossRef
Comparison between liquid skin adhesive and wound closure strip for skin closure after subcuticular suturing in single-port laparoscopic appendectomy: a single-center retrospective study in Korea
Kyeong Eui Kim, Yu Ra Jeon, Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek
Journal of Minimally Invasive Surgery.2024; 27(1): 14. CrossRef

Outcomes of a Single-Port Laparoscopic Appendectomy Using a Glove Port With a Percutaneous Organ-Holding Device and Commercially-Available Multichannel Single-Port Device: Jieun Lee, Sung Ryol Lee, Hyung Ook Kim, Byung Ho Son, Wonjun Choi; Ann Coloproctol. 2014;30(1):42-46. Published online February 28, 2014; DOI: https://doi.org/10.3393/ac.2014.30.1.42

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43 Download
8 Web of Science
7 Citations

Abstract PDF

Purpose

A laparoscopic appendectomy is now commonly performed. The push in recent years toward reducing the number of ports required to perform this surgery has led to the development of a single-port laparoscopic appendectomy (SPA). We compared postoperative pain after an SPA using a glove port with a percutaneous organ-holding device (group 1) with that of an SPA using a commercially-available multichannel single-port device (group 2).

Methods

Between March 2010 and July 2011, a retrospective study was conducted of a total of 77 patients who underwent an SPA by three surgeons at department of surgery, Kangbuk Samsung Medical Center. Thirty-eight patients received an SPA using a glove port with a percutaneous organ-holding device. The other 39 patients received an SPA using a commercially-available multichannel single port (Octo-Port or SILS Port). Operative details and postoperative outcomes were collected and evaluated.

Results

There were no differences in the mean operative times, times to pass gas, postoperative hospital stays, or cosmetic satisfaction scores between the two groups. The pain score in the first 24 hours after surgery was higher in group 2 than group 1 patients (P < 0.001). Furthermore, the trocar used in group 2 was more expensive than that used in group 1.

Conclusion

An SPA using a glove port with a percutaneous organ-holding device was associated with a lower pain score during the first 24 hours after surgery because of the shorter fascia incision length and a cheaper cost than an SPA using a commercially-available multichannel single-port device.

Citations

Citations to this article as recorded by

Single port surgery in pediatric age: report of first 300 cases
Nicola ZAMPIERI, Elettra VESTRI, Federica BIANCHI, Marta PERETTI, Simone PATANÈ, Mariangela CECCHETTO, Alberto MANTOVANI, Annamaria GIAMBANCO, Fabiana FARINA, Gabriella SCIRÈ, Francesco S. CAMOGLIO
Minerva Surgery.2023;[Epub] CrossRef
A brief overview of single-port laparoscopic appendectomy as an optimal surgical procedure for patients with acute appendicitis: still a long way to go
Yang Chen, Zongqi Fan, Xiaoxin Zhang, Xinao Fu, Jushang Li, Jieqing Yuan, Shigang Guo
Journal of International Medical Research.2023;[Epub] CrossRef
Laparoscopic Appendectomy Using the Surgical-Glove Port Through an Umbilical Incision: A Single-Center Retrospective Study
Tran Que Son, Tran Hieu Hoc, Vu Duc Long, Tran Thanh Tung, Nguyen Minh Tuan, Bui Minh Hue, Nguyen Van Minh, Nguyen Toan Thang
Cureus.2022;[Epub] CrossRef
The use of expanding ports in laparo-endoscopic single-site surgery may cause more pain: a meta-analysis of randomized clinical trials
Jannie Dressler, Lars N. Jorgensen
Surgical Endoscopy.2017; 31(11): 4400. CrossRef
Two-port laparoscopic anterior resection through a self-made glove device versus conventional laparoscopic anterior resection for rectal cancer: a comparison of short-term surgical results
Hong Zhang, Yunzhi Ling, Jinchun Cong, Mingming Cui, Dingsheng Liu, Chunsheng Chen
World Journal of Surgical Oncology.2016;[Epub] CrossRef
The learning curve of single-port laparoscopic appendectomy performed by emergent operation
YongHun Kim, WooSurng Lee
World Journal of Emergency Surgery.2016;[Epub] CrossRef
Needlescopic-Assisted Surgery: Single-Incision or Multi-Incision Laparoscopic Surgery?
Chang-Nam Kim
Annals of Coloproctology.2014; 30(1): 9. CrossRef

Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis: Jungwoo Kang, Byung Noe Bae, Geumhee Gwak, Inseok Park, Hyunjin Cho, Keunho Yang, Ki Whan Kim, Sehwan Han, Hong-Joo Kim, Young-Duck Kim; J Korean Soc Coloproctol. 2012;28(6):304-308. Published online December 31, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.6.304

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10 Citations

Abstract PDF

Purpose

For the treatment of acute appendicitis, a conventional laparoscopic appendectomy (LA) has been widely performed. Recently, the use of single incision laparoscopic surgery (SILS) is increasing because it is believed to have advantages over conventional laparoscopic surgery. In this study, we compared SILS and a conventional LA.

Methods

We analyzed the 217 patients who received laparoscopy-assisted appendectomies between August 2010 and April 2012 at Inje University Sanggye Paik Hospital. One hundred-twelve patients underwent SILS, and 105 patients underwent LA. For the two groups, we compared the operation times, postoperative laboratory results, postoperative pain, hospital stay, and postoperative complications.

Results

The patients' demographics, including body mass index, were not significantly different between the two groups. There were 6 perforated appendicitis cases in the SILS group and 5 cases in the LA group. The mean operative time in the SILS group was 65.88 ± 22.74 minutes whereas that in the LA group was 61.70 ± 22.27 minutes (P = 0.276). There were no significant differences in the mean hospital stays, use of nonsteroidal antiinflammatory drugs, and wound infections between the two groups.

Conclusion

Postoperative pain, complications and hospital stay showed no statistically significant differences between the SILS and the LA groups. However, our SILS method uses a single trocar and two latex tubes, so cost savings and reduced interference during surgery are expected.

Citations

Citations to this article as recorded by

Is Transumbilical Laparoscopic-assisted Appendectomy Better than Laparoscopic Appendectomy in Children? A Randomized Controlled Study
Mohamad Abdullah, Raed Al-Taher, Basil Abdin, Mutaz Abbad, Ibraheem Khris, Duha Atieh, Sajeda Ghassan Matar, Mohammed Bassam Nawaiseh
Journal of Indian Association of Pediatric Surgeons.2025; 30(3): 369. CrossRef
A Randomized Trial to Compare the Conventional Three-Port Laparoscopic Appendectomy Procedure to Single-Incision and One-Puncture Procedure That Was Safe and Feasible, Even for Surgeons in Training
Tomoe Moriguchi, Seiro Machigashira, Koshiro Sugita, Masato Kawano, Keisuke Yano, Shun Onishi, Koji Yamada, Waka Yamada, Ryuta Masuya, Takafumi Kawano, Kazuhiko Nakame, Motoi Mukai, Tatsuru Kaji, Satoshi Ieiri
Journal of Laparoendoscopic & Advanced Surgical Techniques.2019; 29(3): 392. CrossRef
European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery
Salvador Morales-Conde, Andrea Peeters, Yannick M. Meyer, Stavros A. Antoniou, Isaías Alarcón del Agua, Alberto Arezzo, Simone Arolfo, Amir Ben Yehuda, Luigi Boni, Elisa Cassinotti, Giovanni Dapri, Tao Yang, Sofie Fransen, Antonello Forgione, Shahab Hajib
Surgical Endoscopy.2019; 33(4): 996. CrossRef
Single-port Laparoscopic Appendectomy: Beyond the Learning Curve: A Retrospective Comparison With Multi-port Laparoscopic Appendectomy
Sarah Assali, Sarah Eapen, Terry Carman, Sophia Horattas, Christopher R. Daigle, Charudutt Paranjape
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2018; 28(5): 291. CrossRef
Minimally invasive surgery and sphincter preservation in rectal cancer
Heather L. Yeo, Jonathan S. Abelson, Jialin Mao, Meera Cheerharan, Jeffrey Milsom, Art Sedrakyan
Journal of Surgical Research.2016; 202(2): 299. CrossRef
Transumbilical Single-Port Laparoscopic Surgery for Colorectal Cancers: Experience of 258 Consecutive Cases with Rational Manipulation of Instrument for Safety and Benefit
Sho Hirabayashi, Kenji Hibi, Yoshihiro Hotta, Ryohei Fukumoto, Takuya Watanabe, Junichi Sakamoto, Yasuhiro Kodera
Annals of Cancer Research and Therapy.2016; 24(1): 7. CrossRef
Gasless transumbilical laparoscopic-assisted appendectomy as a safe and cost-effective alternative surgical procedure for mild acute appendicitis
Koji Munakata, Mamoru Uemura, Junzo Shimizu, Masakazu Miyake, Taishi Hata, Kimimasa Ikeda, Keizo Dono, Masashi Kitada, Yuichiro Doki, Masaki Mori
Surgery Today.2016; 46(3): 319. CrossRef
Patient and parental scar assessment after single incision versus standard 3-port laparoscopic appendectomy: Long-term follow-up from a prospective randomized trial
Alessandra C. Gasior, E. Marty Knott, George W. Holcomb, Daniel J. Ostlie, Shawn D. St. Peter
Journal of Pediatric Surgery.2014; 49(1): 120. CrossRef
Systematic Review and Meta‐Analysis of Randomized Controlled Trials Comparing Single Incision versus Conventional Laparoscopic Appendectomy
Michael Clerveus, Antonio Morandeira‐Rivas, Carlos Moreno‐Sanz, Maria Luz Herrero‐Bogajo, Joaquin Salvelio Picazo‐Yeste, Gloria Tadeo‐Ruiz
World Journal of Surgery.2014; 38(8): 1937. CrossRef
Single-Incision Laparoscopic Appendectomy
Seung-Yong Jeong
Journal of the Korean Society of Coloproctology.2012; 28(6): 282. CrossRef

Single-incision Laparoscopic Surgery for Appendiceal Mucoceles: Safety and Feasibility in a Series of 16 Consecutive Cases: Ki Bum Park, Jun Seok Park, Gyu-Seog Choi, Hye Jin Kim, Soo Yeun Park, Jong Pil Ryuk, Won Ho Choi, You Seok Jang; J Korean Soc Coloproctol. 2011;27(6):287-292. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.287

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Abstract PDF

Purpose

The aim of this study was to evaluate the technical feasibility, safety, and oncological outcomes of transumbilical single-incision laparoscopic surgery in patients with an uncomplicated appendiceal mucocele.

Methods

A review of a prospectively collected database at the Kyungpook National University Hospital from January 2006 to September 2010 revealed that a series of 16 consecutive patients underwent single-incision laparoscopic surgery (SILS) for an appendiceal mucocele. Data regarding patient demographics, operating time, conversion, surgical morbidity, lateral lymph node status, and mid-term oncologic result were analyzed.

Results

The reported series consisted of 7 women (50%) and 9 men with a mean age of 61.6 years (range, 41 to 88 years). The mean operative time was 66.8 minutes (range, 33 to 150 minutes). Perioperative mortality and morbidity were 0% and 6.2%, respectively. Recovery after the procedure was rapid, and the mean hospital stay was 6.8 days (range, 3 to 22 days). Pathology revealed 12 lesions compatible with a mucinous cystadenoma and four others compatible with benign cystic tumors. All surgical margins were clear. In one case, an extra port had to be placed, and another case required conversion from SILS to a standard open laparotomy immediately after identification of the tumor because of a micro-perforation with focal mucin collection. With a median follow-up of 28.7 months, no re-admission or tumor recurrence, such as pseudomyxoma peritonei, was noted in 14 patients.

Conclusion

A single-port laparoscopic mucocelectomy should be safe and feasible and has the advantage of being a minimally invasive approach. Prospective controlled studies comparing SILS and conventional open surgery, with long-term follow-up evaluation, are needed to confirm the author's initial experience.

Citations

Citations to this article as recorded by

The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Appendiceal Neoplasms
Wolfgang B. Gaertner, Shaun R. Brown, Michael Deutsch, Mehraneh D. Jafari, Mukta K. Krane, Vlad V. Simianu, Michael A. Valente, Amy L. Lightner, Daniel L. Feingold, Ian M. Paquette
Diseases of the Colon & Rectum.2025; 68(7): 815. CrossRef
Appendiceal Mucocele - A Review of Literature with a Case Report
Berislav Vekic, Rade Markovic, Aleksandar Cvetkovic, Bojan Stojanovic, Marko Spasic, Nenad Markovic, Mladen Pavlovic, Dusica Petrovic, Bojan Milosevic, Jasna Jevdjic, Maja Vulovic, Dalibor Jovanovic, Slobodanka Mitrovic
Experimental and Applied Biomedical Research (EABR).2024; 25(3): 289. CrossRef
Single-incision laparoscopic surgery compared to conventional laparoscopic surgery for appendiceal mucocele: a series of 116 patients
Ho Seung Kim, Han-Gil Kim, Seung Yoon Yang, Yoon Dae Han, Hyuk Hur, Byung Soh Min, Kang Young Lee, Nam Kyu Kim, Min Soo Cho
Surgical Endoscopy.2022; 36(1): 244. CrossRef
Mucinous appendiceal neoplasm: A case report
Alexandru Chirca, Lucian Negreanu, Andreea Iliesiu, Radu Costea
World Journal of Clinical Cases.2021; 9(7): 1728. CrossRef
Actinomycosis of the Appendix Mimicking Cecal Tumor Treated by Single-Port Laparoscopic Approach
In Soo Cho, Sung Uk Bae, Hye Ra Jung, Kyung Sik Park, Woon Kyung Jeong, Seong Kyu Baek
Annals of Coloproctology.2021; 37(2): 125. CrossRef
Surgical Outcomes of Single-Port Laparoscopic Surgery Compared With Conventional Laparoscopic Surgery for Appendiceal Mucinous Neoplasm
In Jun Yang, Minseol Seo, Heung-Kwon Oh, Jeehye Lee, Jung Wook Suh, Duck-Woo Kim, Sung-Bum Kang
Annals of Coloproctology.2021; 37(4): 239. CrossRef
The American Society of Colon and Rectal Surgeons, Clinical Practice Guidelines for the Management of Appendiceal Neoplasms
Sean C. Glasgow, Wolfgang Gaertner, David Stewart, Jennifer Davids, Karim Alavi, Ian M. Paquette, Scott R. Steele, Daniel L. Feingold
Diseases of the Colon & Rectum.2019; 62(12): 1425. CrossRef
Safety and feasibility of laparoscopic surgery for appendiceal mucocele: a multicenter study
Tae Kyu Kim, Jun Ho Park, Jeong Yeon Kim, Byung Chun Kim, Byung Mo Kang, Soo Kee Min, Jong Wan Kim
Surgical Endoscopy.2018; 32(11): 4408. CrossRef
Laparoscopic ileocecal resection can be applied for appendiceal cancer with an ileal fistula: A case report
Junko Mukohyama, Yasuo Sumi, Kiyonori Kanemitsu, Hiroshi Hasegawa, Masashi Yamamoto, Shingo Kanaji, Yoshiko Matsuda, Kimihiro Yamashita, Takeru Matsuda, Taro Oshikiri, Tetsu Nakamura, Satoshi Suzuki, Yoshihiro Kakeji
International Journal of Surgery Case Reports.2018; 52: 120. CrossRef
Minimally invasive appendectomy for resection of appendiceal mucocele: Case series and review of the literature
Sonia T. Orcutt, Daniel A. Anaya, Mokenge Malafa
International Journal of Surgery Case Reports.2017; 37: 13. CrossRef
Diagnosis and Treatment of Mucinous Appendiceal Neoplasm Presented as Acute Appendicitis
Ioannis Kehagias, Apollon Zygomalas, Georgios Markopoulos, Thanasis Papandreou, Pantelis Kraniotis
Case Reports in Oncological Medicine.2016; 2016: 1. CrossRef
Recommendations in the management of epithelial appendiceal neoplasms and peritoneal dissemination from mucinous tumours (pseudomyxoma peritonei)
P. Barrios, F. Losa, S. Gonzalez-Moreno, A. Rojo, A. Gómez-Portilla, P. Bretcha-Boix, I. Ramos, J. Torres-Melero, R. Salazar, M. Benavides, T. Massuti, E. Aranda
Clinical and Translational Oncology.2016; 18(5): 437. CrossRef
Laparoscopic approach to mucocele of appendiceal mucinous cystadenoma: feasibility and short-term outcomes in 24 consecutive cases
Ki-Jae Park, Hong-Jo Choi, Sung-Heun Kim
Surgical Endoscopy.2015; 29(11): 3179. CrossRef
Cholecystectomy: evolution of laparoscopic approach
I. V. Mikhin, Yu. V. Kuhktenko, M. B. Doronin
Endoskopicheskaya khirurgiya.2015; 21(1): 42. CrossRef
IV. Les recommandations

Journal de Chirurgie Viscérale.2014; 151(6): S15. CrossRef
Distinguishing between acute appendicitis and appendiceal mucocele: is this possible preoperatively?
B. Saylam, C. E. Güldoğan, F. Coşkun, V. Vural, B. Çomçalı, M. Tez
European Journal of Trauma and Emergency Surgery.2013; 39(5): 523. CrossRef

The Initial Experience with a Single Incision Laparoscopic Appendectomy.: Kim, Jong Won , Park, Jun Seok , Chang, In Taik , Choi, Yoo Shin , Song, Hyung Jun , Kim, Beom Gyu; J Korean Soc Coloproctol. 2009;25(5):312-317.; DOI: https://doi.org/10.3393/jksc.2009.25.5.312

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9 Citations

Abstract PDF

PURPOSE
A laparoscopic appendectomy (LA) is becoming popular for the treatment of acute and perforated appendicitis. Since it was first described, the LA has been modified many times. We present the result for a new technique of LA, in which the LA is conducted through a single umbilical incision without exteriorizing the appendix to perform the operation.
METHODS
A single incision laparoscopic appendectomy was attempted in 25 patients (17 men, 8 women). Under general anesthesia, a wound retractor was inserted through the umbilicus. The appendix was grasped and dissected from surrounding tissues with a single flexible dissector or grasper. After mesenteric dissection with ultrasonic shear, the base of the appendix was ligated with an Endoloop. The appendix was withdrawn into the wound protector and extracted from the abdomen.
RESULTS
A single incision laparoscopic appendectomy was completed in 25 patients. No major intraoperative or postoperative complications were encountered. The average duration of the procedure was 50.3+/-21.3 min. The average hospital stay was 4.1+/-2.4 days.
CONCLUSION
This new technique, a single incision laparoscopic appendectomy, further improves the minimal invasiveness of a LA because a single incision is used. This procedure is a safe, very minimally invasive procedure with excellent cosmetic results.

Citations

Citations to this article as recorded by

Single-incision versus conventional multi-incision laparoscopic appendicectomy for suspected uncomplicated appendicitis
Ahmer Irfan, Ahsan Rao, Irfan Ahmed
Cochrane Database of Systematic Reviews.2025;[Epub] CrossRef
Single-incision versus conventional multi-incision laparoscopic appendicectomy for suspected uncomplicated appendicitis
Ahmer Irfan, Ahsan Rao, Irfan Ahmed
Cochrane Database of Systematic Reviews.2024;[Epub] CrossRef
Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis
Jungwoo Kang, Byung Noe Bae, Geumhee Gwak, Inseok Park, Hyunjin Cho, Keunho Yang, Ki Whan Kim, Sehwan Han, Hong-Joo Kim, Young-Duck Kim
Journal of the Korean Society of Coloproctology.2012; 28(6): 304. CrossRef
What Are the Risk Factors for Complication in Transumbilical Single-Port Appendectomy?
Hee Sung Lee, Yong Hae Baik, In Woong Han, Won Yong Choi, Beom Seok Kwak, Young Jin Park, Min Gu Oh, Hong Yong Kim
The Journal of Minimally Invasive Surgery.2012; 15(4): 138. CrossRef
A Review of Minimally Invasive Single-Port/Incision Laparoscopic Appendectomy
Haroon Rehman, Tim Mathews, Irfan Ahmed
Journal of Laparoendoscopic & Advanced Surgical Techniques.2012; 22(7): 641. CrossRef
Single-incision Appendectomy is Comparable to Conventional Laparoscopic Appendectomy
Richdeep S. Gill, Xinzhe Shi, David P. Al-Adra, Daniel W. Birch, Shahzeer Karmali
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2012; 22(4): 319. CrossRef
Single incision versus conventional multi-incision appendicectomy for suspected appendicitis
Haroon Rehman, Ahsan M Rao, Irfan Ahmed
Cochrane Database of Systematic Reviews.2011;[Epub] CrossRef
Technical approaches to single port/incision laparoscopic appendicectomy: a literature review
H Rehman, I Ahmed
The Annals of The Royal College of Surgeons of England.2011; 93(7): 508. CrossRef
Laparoscopic Appendectomy with a Single Incision in a Single Institute
Jin A Lee, Ki Young Sung, Jun Hyun Lee, Do Sang Lee
Journal of the Korean Society of Coloproctology.2010; 26(4): 260. CrossRef

A Case of Single Port Laparoscopic Appendectomy and Cholecystectomy in a Fresh Cadaver: A Feasible Procedure.: Kim, Hyung Jin , Lee, Jae Im , Lee, Yoon Suk , Kang, Won Kyung , Lee, Sang Kuon , You, Young Kyung , Oh, Seong Taek; J Korean Soc Coloproctol. 2009;25(1):59-62.; DOI: https://doi.org/10.3393/jksc.2009.25.1.59

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4 Citations

Abstract PDF

We performed single port transumbilical appendectomy and cholecystectomy using the TriPort (R-port, Advanced Surgical Concepts, Wicklow, Ireland), inserted through a transumbilical incision in a cadaver model. A articulating instrument, Autonomy(TM) (Cambridge Endo, MA, USA) in right hand was used for retraction in addition to a standard laparoscopic instrument in left hand for dissection and coagulation. Both procedures were technically successful. In conclusion, single port surgery may be performed safely. And in the near future, more complex procedures could be performed through single port in accordance with the advancement of the instruments.

Citations

Citations to this article as recorded by

Bending Mechanism Analysis and Bending Coupler Optimal Design for Laparoscopic Surgical Instrument
Dal Yeon Hwang, Dae Hoan Moon, Seung Wook Choi, Jong Seok Won
Journal of the Korean Society of Precision Engineering.2013; 30(4): 434. CrossRef
Single-port transumbilical laparoscopic appendectomy: 43 consecutive cases
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