One-trocar appendectomy

Excerpt

In a recent article entitled “One-Trocar Appendectomy, Sense and Nonsense,” Rispoli et al. [4] elegantly demonstrated that it is technically feasible, even in adult patients, to perform laparoscopically assisted appendectomy using a single umbilical port through which an operative telescope is passed to exteriorize the mobilized appendix, followed by appendectomy in a conventional manner. Nevertheless, it appears that the second half of the title is more intriguing. In our setting, wherein this most common abdominal emergency operation is largely relegated to surgery residents, we hasten to emphasize that the most sensible (and optimal) treatment strategy is an individualized approach, taking into consideration the patient, the disease condition, the surgeon, and of course, current technical developments. …