Clinical Experiences of Trans-Trocar Appendix Removal in Laparoscopic Appendectomy
Jung Min Bae
Citation Information :
Bae JM. Clinical Experiences of Trans-Trocar Appendix Removal in Laparoscopic Appendectomy. World J Lap Surg 2014; 7 (3):107-110.
Most of laparoscopic instruments are disposable and not reusable. Therefore, laparoscopic surgery is more ineffective according to environment conservation and recycling of resources than open surgery.
Trans-trocar appendix removal method was shown instead of using disposable specimen vinyl bag. Advantages of transtrocar removal are cost-effective and decrement of disposable instrument. But, there has not been cited in the literature about clinical experiences and outcomes. Therefore, this study was conducted to analyze the clinical outcomes.
Materials and methods
Uncomplicated appendicitis patients were reviewed retrospectively in 2013. The enrolled patients were divided as trans-trocar appendix removal group (TTAR) and disposable specimen vinyl bag group (DSVB). Clinical data and outcomes were analyzed and compared.
Results
A total of 119 patients undergoing laparoscopic appendectomy were enrolled. Fifty-nine patients belonged to TTAR and 60 patients were DSVB. In the both groups, there were no significant differences in postoperative outcomes. Success rate of trans-trocar removal was 89.3%. According to body mass index (BMI), success rate is 100% below 20 kg/m2, 87.8% in patients between 20 kg/m2 and 25 kg/m2 and 61% above 25 kg/m2.
Conclusion
Although, it is difficult to generalize the results, it is thought that trans-trocar appendix removal is alternative and feasible on basis of our study. But in BMI > 25 kg/m2, it is thought to be technically careful to perform trans-trocar appen- dix removal. It is also necessary to make comparison the efficacy of appendix removal methods through prospective randomized clinical study to establish the better method for laparoscopic appendectomy.
How to cite this article
Bae JM. Clinical Experiences of Trans- Trocar Appendix Removal in Laparoscopic Appendectomy. World J Lap Surg 2014;7(3):107-110.
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