World Journal of Laparoscopic Surgery

Register      Login

VOLUME 16 , ISSUE 3 ( September-December, 2023 ) > List of Articles

Original Article

A Study of Three-port Laparoscopic Appendectomy with Alternative Port Placement Technique

Sanjay R Chauhan, Ronak R Modi, Shakib Masu, Krunal Chandana, Chaitya Shah

Keywords : Appendicitis, Laparoscopic appendectomy, Port placement

Citation Information : Chauhan SR, Modi RR, Masu S, Chandana K, Shah C. A Study of Three-port Laparoscopic Appendectomy with Alternative Port Placement Technique. World J Lap Surg 2023; 16 (3):142-144.

DOI: 10.5005/jp-journals-10033-1580

License: CC BY-NC 4.0

Published Online: 12-01-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: To describe alternative port placement techniques for three-port laparoscopic appendectomy. Background: Appendectomy remains to be the most accepted course of management for appendicitis. Alternative port placement technique described below aids the operating surgeon by providing a better working position and cosmesis. Materials and methods: A total of 50 patients from July 2021 to July 2022 were admitted to the Surgical Department of Sheth LG General Hospital, AMC MET Medical College, who fulfilled predetermined criteria and underwent laparoscopic appendectomy with this technique of port placement using one umbilical camera port and two working ports in LIF and RIF, are included in this study. Results: Of 50 patients, 28 males (56%) of mean age 24.33 (±3.25) years and 22 females (44%) of mean age 27.05 (±4.25) years were operated for laparoscopic appendectomy. In two patients (4%), appendectomy approach was converted to open. Conclusion: This technique of three-port laparoscopic appendectomy is safe and does not require a significant learning curve. It allows better ergonomics for handling the appendix, especially for transfixation of the base without compromising good cosmesis.


HTML PDF Share
  1. Ferris M, Quan S, Kaplan BS, et al. The global incidence of appendicitis: A systematic review of population-based studies. Ann Surg 2017;266(2):237–241. DOI: 10.1097/SLA.0000000000002188.
  2. Lewis FR, Holcroft JW, Boey J, et al. Appendicitis. A critical review of diagnosis and treatment in 1000 cases. Arch Surg 1975;110(5): 677–684. DOI: 10.1001/archsurg.1975.01360110223039.
  3. Dasari BV, Baker J, Markar S, et al. Laparoscopic appendicectomy in obese is associated with improvements in clinical outcome: Systematic review. Int J Surg 2015;13:250–256. DOI: 10.1016/j.ijsu.2014.11.052.
  4. Semm K. Endoscopic appendectomy. Endoscopy 1983;15(2):59–64. DOI: 10.1055/s-2007-1021466.
  5. Meljnikov I, Radonjic B, Grebe dinger S, et al. History of surgical treatment of appendicitis. Med Pregl 2009;62(9–10):489–492. PMID: 20391748.
  6. Panait L, Bell RL, Duffy AJ, et al. Two-port laparoscopic appendectomy: Minimizing the minimally invasive approach. J Surg Res 2009;153(1):167–171. DOI: 10.1016/j.jss.2008.02.003.
  7. Masu S, Mukadam P. Laproscopic appendicectomy various modification in techniques. Indian J Appl Res 2014;4(5):1–3. DOI: 10.36106/ijar.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.