Single-incision laparoscopic appendectomy preferable
(HealthDay)—For patients with acute appendicitis, single-incision laparoscopic appendectomy (SILA) is preferable to conventional three-incision laparoscopic appendectomy (CTLA), according to a review published online Nov. 15 in the Journal of Evidence-Based Medicine.
Li-Hui Deng, from West China Hospital at Sichuan University in Chengdu, and colleagues searched major databases for randomized clinical trials (RCTs) comparing SILA and CTLA for acute appendicitis. They compared the technical feasibility, effectiveness, and safety of SILA and CTLA. Data were analyzed from 11 RCTs with 1,489 patients.
The researchers found that the SILA group had a significantly shorter hospital duration (P = 0.003) and return to activity (P = 0.02); they also experienced longer operating time (P < 0.0001) and higher rate of conversion (P < 0.00001). The groups did not differ in terms of visual analogue pain scores, doses of analgesics, overall complication rates, wound infection, or cosmesis (all P > 0.05).
"SILA is a safer and more effective than CTLA in both pediatric and adult patients," the authors write.
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