A case report of single-port laparoscopic appendectomy using a needle-type grasping forceps
CHEN Yang1 GUO Shigang1 LIU Yanjie2 YUAN Jieqing1 DING Liyan3 JIANG Zengyan1 LI Xiaojun1 HAN Xuesong1 JIANG Wei1
1.Department of General Surgery, Chaoyang Central Hospital, Liaoning Province, Chaoyang 122000, China;
2.Department of Oncology, Chaoyang Central Hospital, Liaoning Province, Chaoyang 122000, China;
3.Department of Science Research and Education, Chaoyang Central Hospital, Liaoning Province, Chaoyang 122000, China
Abstract:Acute appendicitis is one of the most common acute abdominal diseases in surgery, and appendectomy is widely used as a major surgical treatment. Laparoscopic appendectomy is becoming more widely performed due to the strong demand from patients for minimally invasive surgical techniques, although many surgical procedures have been reported previously. This study reported a case of single-port laparoscopic appendectomy modified with needle forceps, a new technique, which was performed for the first time in China on April 28, 2019 in the Department of General Surgery of Chaoyang Central Hospital of Liaoning Province. The operation was assisted by needle-type grasping forceps, and the incision 1 cm below the umbilicus made the surgical trauma less, it can effectively relieve postoperative incision pain and has good cosmetic effect. Through 30 months of postoperative follow-up, there were no appendicitis, adhesion intestinal obstruction, umbilical hernia, abdominal abscess formation, and other complications, postoperative abdominal wall no visible scar, with good long-term clinical effect.
[1] Baird DLH,Simillis C,Kontovounisios C,et al. Acute appendicitis [J]. BMJ,2017,357:j1703.
[2] Snyder MJ,Guthrie M,Cagle S. Acute Appendicitis:Efficient Diagnosis and Management [J]. Am Fam Physician, 2018,98(1):25-33.
[3] Quah GS,Eslick GD,Cox MR. Laparoscopic appendicectomy is superior to open surgery for complicated appendicitis [J]. Surg Endosc,2019,33(7):2072-2082.
[4] Wagner M,Tubre DJ,Asensio JA. Evolution and Current Trends in the Management of Acute Appendicitis [J]. Surg Clin North Am,2018,98(5):1005-1023.
[5] Orthopoulos G,Santone E,Izzo F,et al. Increasing incidence of complicated appendicitis during COVID-19 pandemic [J]. Am J Surg,2021,221(5):1056-1060.
[6] Bonilla L,Gálvez C,Medrano L,et al. Impact of COVID-19 on the presentation and course of acute appendicitis in paediatrics [J]. An Pediatr (Engl Ed),2021,94(4):245-251.
[7] Kumaira Fonseca M,Trindade EN,Costa Filho OP,et al. Impact of COVID-19 Outbreak on the Emergency Presentation of Acute Appendicitis [J]. Am Surg,2020,86(11):1508-1512.
[8] Kelly ME,Murphy E,Bolger JC,et al. COVID-19 and the treatment of acute appendicitis in Ireland:a new era or short-term pivot? [J] Colorectal Dis,2020,22(6):648-649.
[9] Lisi G,Campanelli M,Mastrangeli MR,et al. Acute appendicitis in elderly during Covid-19 pandemic [J]. Int J Colorectal Dis,2021,36(10):2287-2290.
[10] van Dijk ST,van Dijk AH,Dijkgraaf MG,et al. Meta-analysis of in-hospital delay before surgery as a risk factor for complications in patients with acute appendicitis [J]. Br J Surg,2018,105(8):933-945.
[11] Childers CP,Dworsky JQ,Massoumi RL,et al. The contemporary appendectomy for acute uncomplicated appendicitis in children [J]. Surgery,2019,165(5):1027-1034.
[12] 张永,赵甦,崔卫东,等.腹腔镜与开腹阑尾切除术治疗急性阑尾炎疗效对比分析[J].外科理论与实践,2021, 26(3):269-270.
[13] 房鑫,王静,张华,等.悬吊辅助下二孔腹腔镜阑尾切除术与传统三孔在治疗儿童急性阑尾炎中的对比研究[J].世界最新医学信息文摘,2018,18(63):1-2,7.
[14] 曹一鸣,张超,武炜.3D腹腔镜阑尾切除术结合加速康复外科理念的临床效果[J].江苏医药,2016,42(7):800-802.
[15] 吴亚东,朱春林,奚维伟.三孔法腹腔镜阑尾切除术相关学习曲线研究[J].中国医药导报,2021,18(31):104-107.
[16] Hori T,Machimoto T,Kadokawa Y,et al. Laparoscopic appendectomy for acute appendicitis:How to discourage surgeons using inadequate therapy [J]. World J Gastroenterol,2017,23(32):5849-5859.
[17] Fujishiro J,Watanabe E,Hirahara N,et al. Laparoscopic Versus Open Appendectomy for Acute Appendicitis in Chi-ldren:a Nationwide Retrospective Study on Postoperative Outcomes [J]. J Gastrointest Surg,2021,25(4):1036-1044.
[18] Yang J,Yu K,Li W,et al. Laparoscopic Appendectomy for Complicated Acute Appendicitis in the Elderly:A Single-center Experience [J]. Surg Laparosc Endosc Percutan Tech,2017,27(5):366-368.
[19] Quah GS,Eslick GD,Cox MR. Laparoscopic appendicectomy is superior to open surgery for complicated appendicitis [J]. Surg Endosc,2019,33(7):2072-2082.
[20] 刘欢欢,田雨,吴硕东,等.经脐单孔腹腔镜阑尾切除术治疗急性阑尾炎的应用价值及经验总结[J].中国普外基础与临床杂志,2018,25(11):1372-1374.
[21] Miyo M,Urabe S,Hyuga S,et al. Clinical outcomes of single-site laparoscopic interval appendectomy for severe complicated appendicitis:Comparison to conventional emergency appendectomy [J]. Ann Gastroenterol Surg,2019,3(5):561-567.
[22] Duza G,Davrieux CF,Palermo M,et al. Conventional Laparoscopic Appendectomy Versus Single-Port Laparoscopic Appendectomy,a Multicenter Randomized Control Trial:A Feasible and Safe Alternative to Standard Laparoscopy [J]. J Laparoendosc Adv Surg Tech A,2019, 29(12):1577-1584.
[23] 刘亮,刘晓斌,汪颖厚,等.经脐单孔3D腹腔镜下阑尾切除术16例分析[J]中国医科大学学报,2015,44(4):380-381.
[24] 尹克宁,卓凡.单孔腹腔镜手术治疗急性阑尾炎的临床疗效[J].腹腔镜外科杂志,2018,23(2):109-111.
[25] 中华医学会外科学分会,中华医学会麻醉学分会.加速康复外科中国专家共识暨路径管理指南(2018)[J].中华麻醉学杂志,2018,38(1):8-13.