Abstract

Aim: To compare the post-operative outcomes of single incision versus conventional three port laparoscopic appendectomy.

Study Design: Randomized controlled trial

Place and Duration: Department of Surgery, Central Park Medical College and Allied Hospitals Lahore from 1st January 2019 to 31st December 2019.

Methodology: One hundred and seventy patients of both genders with ages 20 to 60 years were included in this study. Patients were equally divided into two groups. Group I consist of 85 patients and received single incision laparoscopic appendectomy and Group II with similar patients received conventional three port laparoscopic appendectomy. Post-operative outcomes were examined and compare the findings between both groups.

Results: In Group I, 48 (56.47%) and 37 (43.53%) patients were males and females with mean age 38.56±10.48 years and in Group II, 43 (50.59%) patients were males and 42 (49.41%) patients were females with mean age 39.65±12.42 years. No significant difference was observed between both groups regarding operative time p-value >0.05. No significant difference was found between both groups regarding wound infection [Group I, 3 (3.53%), Group II, 7 (8.24%)]. Patients received single incision laparoscopic appendectomy had shorter hospital stay as compared to Group II patients (1.25±0.80 Vs 2.90±1.05 days) with p-value 0.003. Group I patients had better cosmetic results after 3 months as compared to Group II patients with p-value <0.05.

Conclusion: Single incision laparoscopic appendectomy is safe and effective treatment modality with better cosmetic results and less hospital stay and low rate of wound infection as compared to conventional laparoscopic appendectomy.

Keywords: Single incision, Conventional laparoscopic appendectomy, Operative time, Wound infection, Hospital stay, Cosmesis