Page 8 - World Journal of Laparoscopic Surgery

Jung Min Bae
Statistical significance was determined when p­value is inserted to 15 mm trocar port and resected appendix
below 0.05 in all analysis. was grasped by laparoscopic specimen grasper and was
All of laparoscopic surgeries were performed by performed trans-trocar appendix removal (Figs 1 to 4).
specialized laparoscopic surgeons. Laparoscopic surgery In patients in using 11 mm trocar and failure of trans-
was performed to all patients in supine position under trocar removal, specimen removal was performed by
the general anesthesia. Three port maneuver were used. disposable specimen vinyl bag identical to conventional
One 11 or 15 mm trocar for laparoscope entered at the laparoscopic method.
inferior margin of umbilicus with either a vertical or In all of patients, patient controlled analgesic system
semicircular transverse skin incision. There was not was applied postoperatively.
selection criteria for TTAR or DSVB preoperatively or
intraoperatively. The usage of 15 or 11 mm trocar were RESuLTS
selected randomly regardless of gender, age and body The total number of patients was 119 people. Fifty-nine
mass index (BMI) of patients and were performed in patients were in the TTAR and 60 patients were in the
almost identical ratios. DSVB and the male vs female ratio was 0.9:1 and 2:1
A 5 mm laparoscope was inserted to visualize the respectively. The age in TTAR and DSVB ranged 42.5 ±
abdominal cavity. Two additional 5 mm ports entered at 35.5 and 47.0 ± 34.0. The average BMI of the TTAR was
2
2
the left lower quardrant and the suprapubic area. 22.3 kg/m and that of DSVB was 23.5 kg/m showing
Subsequently, the laparoscopic appendectomy was no significant difference (Table 1).
performed using procedures identical to those of con­ The average operation time of TTAR was 85.4 minutes
ventional laparoscopic surgery. and that of DSVB was 92.5 minutes. The average of length
In patients in using 15 mm trocar, after appendix of hospital stay (days) in both groups were 3.59 and 4.06
specimen was divided from appendiceal base, trans­ (Table 2).
trocar removal method was performed. In trans-trocar In both groups, superficial incisional site infections
removal method, 5 mm camera was inserted to 5 mm were developed in 5 persons. But, intra-abdominal
trocar port and laparoscopic specimen grasper was abscess was none.

Fig. 1: The appendix was grasped by laparoscopic Fig. 2: The appendix was retracted into 15 mm trocar
specimen grasper

Fig. 3: The appendix was divided from appendiceal base Fig. 4: The resected appendix was removed in trans-trocar space
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