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International Journal of Colorectal Disease

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08-08-2022 | Laparoscopy | Review

Single-incision compared with conventional laparoscopy for appendectomy in acute appendicitis: a systematic review and meta-analysis

Authors: Changjia Li, Yukun Liu, Yumin Jiang, Yongjing Xu, Zhiwei Wang

Published in: International Journal of Colorectal Disease | Issue 9/2022

Abstract

Objective

A meta-analysis of the relevant literature evaluated the feasibility, safety, and potential benefits of single-incision laparoscopic appendectomy (SILA) relative to those of conventional laparoscopic appendectomy (CLA).

Methods

The major biomedical databases, including ClinicalTrials.gov, were searched up to January 2022 for relevant randomized controlled trials (RCTs). SILA and CLA were compared regarding patient body mass index, operative time, and perioperative complications. The Cochrane Handbook and RevMan 5.3 were used to judge trial quality and perform the meta-analysis, respectively.

Results

The 17 included RCTs comprised 2068 patients, of whom 1039 and 1029 patients underwent SILA and CLA, respectively. The operative time for SILA was longer than that for CLA (MD = 8.35 min, 95% CI = 6.58 to 10.11, P < 0.00001), but the cosmetic results from SILA were superior (SMD = 0.81, 95% CI = 0.58 to 1.03, P < 0.00001). However, the incidence rates were similar in terms of patient body mass index; postoperative pain scores; and rates of abdominal abscess, conversion to open surgery, ileus, surgical site infection, and overall perioperative complications between the two groups.

Conclusion

SILA is a safe technique for acute appendicitis, and its cosmetic outcomes are superior to those of CLA.

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Title: Single-incision compared with conventional laparoscopy for appendectomy in acute appendicitis: a systematic review and meta-analysis
Authors: Changjia Li
Yukun Liu
Yumin Jiang
Yongjing Xu
Zhiwei Wang
Publication date: 08-08-2022
Publisher: Springer Berlin Heidelberg
Keywords: Laparoscopy
Ileus
Appendicitis
Appendicitis
Incision
Appendectomy
Published in: International Journal of Colorectal Disease / Issue 9/2022
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-022-04231-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Single-incision compared with conventional laparoscopy for appendectomy in acute appendicitis: a systematic review and meta-analysis

Abstract

Objective

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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