Conventional Laparoscopic Appendectomy Versus Double Incision Three Port Laparoscopic Appendectomy: A one Year Randomized Controlled trial at KLE’S Dr. PRABHAKAR Kore Hospital & MRC, Belagavi

Abstract

The Management of appendicitis has evolved dramatically in the last 120 years, from McBurney’s large incision, to minimally invasive Laparoscopic appendectomy (LA), to hardly noticeable incisions with Single Incision Laparoscopic Surgery (SILS). As a bridge between conventional laparoscopic surgery and single incision laparoscopic surgery (SILS), double incision laparoscopic surgery (DILS) further minimize the invasiveness of laparoscopic surgery by reducing the number of incisions. The present study was an attempt to establish the efficacy of Double incision three port laparoscopic Appendectomy as an alternative to Conventional Three-port Laparoscopic Appendectomy METHODOLOGY: This one year randomized controlled trial was done in the Department of General Surgery, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi from January 2015 to December 2015. A total of 60 patients were divided into two groups, Group A (Conventional laparoscopic appendectomy) and Group B (Double incision three port laparoscopic appendectomy). RESULTS: There was no significant difference regarding operative time between the two groups. Post-operative stay and post-operative pain were similar in both the groups, however, patients in the double incision three port laparoscopic appendectomy group were more satisfied with their cosmetic outcome ( P =0.04). CONCLUSION: Double incision three port laparoscopic appendectomy can be performed with acceptable operative outcomes which is equivalent to conventional laparoscopic appendectomy with superior cosmetic results.