| ORIGINAL ARTICLE |
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| Year : 2014 | Volume
: 10
| Issue : 1 | Page : 23-26 |
Two-port laparoscopic appendectomy as transition to laparoendoscopic single site surgery
José Gustavo Olijnyk1, Guilherme Gonçalves Pretto1, Omero Pereira da Costa Filho2, Fernando Koboldt Machado3, Sidney Raimundo Silva Chalub4, Leandro Totti Cavazzola5
1 Department of Surgery, Hospital Militar de Área de Porto Alegre; Department of Surgery, Hospital de Clínicas, Federal University of Rio Grande do Sul State, Porto Alegre, Rio Grande do Sul, Brazil
2 Department of Surgery, Hospital Militar de Área de Porto Alegre, Rio Grande do Sul, Brazil
3 Department of Surgery, Institute of Education and Research, Hospital Moinhos de Vento de Porto Alegre, Rio Grande do Sul, Brazil
4 Department of Surgery, Federal University of Amazonas State, Manaus, Amazonas, Brazil
5 Department of Surgery, Hospital de Clínicas, Federal University of Rio Grande do Sul State, Porto Alegre, Rio Grande do Sul, Brazil
Correspondence Address:
José Gustavo Olijnyk
78 Praça Dom Feliciano St, 810 suite, Historic Center, Porto Alegre, Rio Grande do Sul-90020-160
Brazil
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0972-9941.124460
Background: According to the precepts of reduced surgical trauma and better cosmesis, an intermediate laparoscopic appendectomy technique between the conventional three-trocar procedure and Laparoendoscopic Single Site Surgery (LESS) was performed, based on literature review and experience of the surgical team. Patients and Methods: Patients with early stage acute appendicitis and a favourable anatomical presentation were selected. The procedure was performed with two ports: A 10 mm trocar at the umbilicus site for laparoscope and a 5 mm one just above the pubic bone for grasper. The appendix was secured by external wire traction through a right iliac fossa puncture with 14-gauge intravenous catheter. Results: From August 2009 to December 2012, we performed 42 cases; two required conversion to a conventional laparoscopic technique. There were no complications in the remaining, no wound infections and a mean operation time of 64.5 minutes. Conclusion: The use of two-port laparoscopic appendectomy can act as a LESS intermediate step procedure, without loss of instrumental triangulation and maintenance of appropriate counter-traction. This technique can be used as an alternative to the three-port laparoscopic procedure in patients with initial presentation of appendicitis and a favourable anatomical position.
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