Single-incision Laparoscopic Surgery in Acute Abdomen
Single-incision Laparoscopic Surgery in Acute Abdomen
Since Semm et.al. reported the first case of laparoscopic appendectomy in 1983, minimally
 invasive surgery has become the main stay for treating of many surgical diseases. After the
 booming in the advancement of surgical instrument and breakthrough in surgical skills, the
 minimally invasive surgery has been widely applied to neurosurgery, spinal surgery, breast,
 thyroid, hernia surgery, etc. It has been proved that minimally invasive surgery is safe and
 effective, and further it achieves compatible results and outcomes in oncology and functional
 diseases. Minimally invasive surgery in alimentary tract, known as laparoscopic surgery, has
 been performed in gastric surgery (e.g. gastric cancer, tumor, functional disorders and
 bariatric surgery), hepatobiliary and pancreatic surgery (e.g. hepatectomy, cholecystectomy,
 and pancreatectomy), and colorectal surgery (e.g. colorectal cancer and functional bowel
 disease). Under a superior heritage of surgical skills from Taiwan university hospital, we
 introduced laparoscopic surgery in 1996 and currently, laparoscopic surgery becomes the
 mainstay of surgery in Yunlin branch. In 2015, there were 600 laparoscopic surgery in our
 hospital, while 150 colorectal laparoscopic surgery in the same year. In recent years,
 single-incisional laparoscopic surgery has emerged to become one of the focused topic in the
 world and seemly in our department. Through single-incision surgery, we attempted to minimize
 the incision wound to achieve better cosmesis and faster recovery. By the valuable clinical
 experiences gathering in our hospital (Yunlin branch) in recent 10 years, we contemplate
 two-step plans: first, by retrospective data collection, we can explain the clinical problems
 based on current statistical results. Second, based on prior (step 1) retrospective findings,
 a prospective study could be conducted for more evident results.
The aim of this study is to compare two kinds of single-incision laparoscopic surgery setting
 including hand-made glove setting and commercialized single-incision multiport setting. The
 preoperative, intraoperative and postoperative data will be collected for analysis.
Inclusion Criteria:

 1. The patients admitted to the NTUH Yunlin branch diagnosed clinically as acute
 appendicitis

 2. The patients with clinically suspected right lower quadrant pain and acute
 appendicitis could not be excluded

 Exclusion Criteria:

 1. Not eligible to underwent laparoscopic surgery because of compromised cardiopulmonary
 function or major laparotomy surgery

 2. Decide to receive non-surgical treatment of the acute appendicitis

 3. Age<20, or could not exercise the right of autonomy or unwilling to participate the
 study