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Kim, Lee, Lee, Kim, Lee, Lee, Cho, and Oh: Single-Port Laparoscopic Appendectomy
Surgeon at Work
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2010; 78(5): 338-342.

Published online: 10 May 2010

DOI: https://doi.org/10.4174/jkss.2010.78.5.338

Single-Port Laparoscopic Appendectomy

Hyung Jin Kim, M.D., Jae Im Lee, M.D., Sang Chul Lee, M.D., Soo Hong Kim, M.D., In Kyu Lee, M.D., Yoon Suk Lee, M.D., Hyeon-Min Cho, M.D., Seong Taek Oh, M.D.

Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Corresponding author (stoh@catholic.ac.kr)

Received 2 November 2009       Accepted 28 December 2009

Copyright © 2010 The Korean Surgical Society

Abstract

In the field of surgery, there are a large number of studies in progress for more minimally invasive surgery and cosmetic improvements. Among these studies, NOTES (natural orifice transluminal endoscopic surgery) and single-port laparoscopic surgery are the 2 studies attracting the most attention. Single-port laparoscopic surgery is a procedure where laparoscopic surgery is performed through a single incision at the umbilicus or another region. Until now, many kinds of surgeries were performed by single-port laparoscopy. In this article, the authors attempt to explain the procedures of single-port laparoscopic appendectomy in detail based on our experiences.

Keywords: Single-port, Laparoscopy, Appendectomy

Figures and Tables

Fig. 1
Image of a single-port. It is created by inserting two 5 mm trocars, one 10 mm trocar, and one three-way catheter in the finger portion of the surgical glove.
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Fig. 2
Appendix removal. The resected appendix was inserted and sealed in one of the fingers of the surgical glove.
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Fig. 3
Smoke evacuation. Smoke can be removed easily using a three-way catheter.
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Fig. 4
Trocars location. Placing the trocars in the center is a method to facilitate the operation.
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Fig. 5
Laparoscope insertion. Trocar is first inserted through the umbilical wound, the laparoscope is placed into the peritoneal cavity, and lastly the trocar is removed from the peritoneal cavity.
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Fig. 6
Postoperative wound. Two weeks after the operation; there is no scar visible.
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References

1. Horgan S, Cullen JP, Talamini MA, Mintz Y, Ferreres A, Jacobsen GR, et al. Natural orifice surgery: initial clinical experience. Surg Endosc. 2009. 23:1512–1518.
2. Kim HJ, Lee JI, Lee YS, Kang WK, Lee SK, You YK, et al. A case of single port laparoscopic appendectomy and cholecystectomy in a fresh cadaver: a feasible procedure. J Korean Soc Coloproctol. 2009. 25:59–62.
3. Hong TH, Kim HL, Lee YS, Kim JJ, Lee KH, You YK, et al. Transumbilical single-port laparoscopic appendectomy (TUSPLA): scarless intracorporeal appendectomy. J Laparoendosc Adv Surg Tech A. 2009. 19:75–78.
4. Kuon Lee S, You YK, Park JH, Kim HJ, Lee KK, Kim DG. Single-port transumbilical laparoscopic cholecystectomy: a preliminary study in 37 patients with gallbladder disease. J Laparoendosc Adv Surg Tech A. 2009. 19:495–499.
5. White WM, Haber GP, Goel RK, Crouzet S, Stein RJ, Kaouk JH. Single-port urological surgery: single-center experience with the first 100 cases. Urology. 2009. 74:801–804.
6. Bucher P, Pugin F, Morel P. Single port access laparoscopic right hemicolectomy. Int J Colorectal Dis. 2008. 23:1013–1016.
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