Page 10 - World Journal of Laparoscopic Surgery
P. 10

Jung Min Bae
          inserted patients in umbilicus. But, in single incision laparo­     6.  Saad M. Fisherman’s technique, introducing a novel method
          scopic appendectomy (SILA), there are larger wound in   for using the umbilical port for removal of appendix during
          umbilicus than 11 mm trocar site in conventional laparo-  laparoscopic appendectomy. Surg Laparosc Endosc Percutan
                                                                  Tech 2007;17(5):422-424.
          s copic appendectomy (CLA). In most literatures of SILA,     7.  Bhandarkar D, Shah R. A novel technique for extraction of
          there is 15 mm or adult index finger size skin incision in   the appendix in laparoscopic appendectomy. Surg Laparosc
          umbilicus. Although, there is larger skin incision than   Endosc Percutan Tech 2002;12(2):117-118.
          11 mm, there are no additional analgesics use and poor     8.  Lally KP. Appendix. In: Townsend CM, Sabiston DC, ‘editors’.
          cosmesis in SILA compared to CLA. 14-17  Therefore, it is   Sabiston textbook of surgery: the biological basis of modern
                                                                  surgical practice. 16th ed. Philadelphia: WB Saunders Co;
          thought that possibility of wound pain and cosmesis     2001. p. 925.
          problem is very low in TTAR.                          9.  Maa J. The appendix. In: Townsend Jr CM, Beauchamp RD,
             Although, it is difficult to generalize the results of this   Evers BM, Mattox KL, ‘editors’. Sabiston Textbook of Surgery:
          study, it is thought that trans­trocar appendix removal   Expert Consult Premium Edition: Enhanced Online Features.
                                                                  19th ed: Elsevier Health Sciences; 2012. p. 1281.
          is alternative and feasible method on basis of our study.     10.  Holme JB, Mortensen FV. A powder-free surgical glove bag for
          But in BMI > 25, it is thought to be technically careful to   retraction of the gallbladder during laparoscopic cholecystec­
          perform trans­trocar appendix removal.                  tomy. Surg Laparosc Endosc Percutan Tech 2005; 15(4):209-211.
             It is also necessary to make comparison the efficacy     11.  Kao CC, Cha TL, Sun GH, et al. Cost-effective home made
          of appendix removal methods through well­designed       specimen retrieval bag for use in laparoscopic surgery:
                                                                  experience at a single center. Asian J Surg 2012;35(4):140-143.
          prospective randomized clinical study to establish the     12.  Miller CE. Methods of tissue extraction in advanced laparo-
          better method for laparoscopic appendectomy.            scopy. Curr Opin Obstet Gynecol 2001;13(4):399-405.
                                                                13.  Jung  CY,  Bae  JM.  Trocar  size  selection  for  trans-trocar
          REFEREnCES                                              appendix removal in laparoscopic appendectomy. J Minim
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