Comparison of postoperative pain after needle grasper-assisted single-incision laparoscopic appendectomy versus single-incision laparoscopic appendectomy: a prospective randomized controlled trial (PANASILA trial)
| العنوان: | Comparison of postoperative pain after needle grasper-assisted single-incision laparoscopic appendectomy versus single-incision laparoscopic appendectomy: a prospective randomized controlled trial (PANASILA trial) |
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| المؤلفون: | Byung Kwan Park, Jong Won Kim, Suk Won Suh, Joong-Min Park, Yong Gum Park |
| المصدر: | Annals of Surgical Treatment and Research |
| بيانات النشر: | The Korean Surgical Society, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Surgical instruments, Appendectomy, Surgery, Original Article, Laparoscopy, Surgical wound |
| الوصف: | Purpose This study was performed to compare the efficacies of newly developed needle grasper-assisted (Endo Relief) single-incision laparoscopic appendectomy (NASILA) and single-incision laparoscopic appendectomy (SILA). Methods This study enrolled 110 patients with acute appendicitis without periappendiceal abscess, diagnosed using computed tomography, who were randomized to the SILA (n = 54) and NASILA groups (n = 56) between December 2017 and August 2018 (6 patients withdrawn). The NASILA technique entailed a small umbilical incision for the glove port (equivalent to that for a 12-mm trocar), and a 2.5-mm suprapubic incision for the needle grasper. Results The SILA and NASILA groups included 49 (male, 61.2%) and 55 (male, 54.5%) patients, respectively. Age, body mass index, abdominal surgical history, symptom duration, and use of patient-controlled analgesia did not differ significantly between the 2 groups. The main wound size was significantly smaller in the NASILA group than in the SILA group (1.8 ± 0.4 cm vs. 2.2 ± 0.4 cm, P < 0.001). The operative time and estimated blood loss did not differ significantly between both groups. The immediate postoperative pain score, i.e., the primary endpoint, was significantly lower in the NASILA group than in the SILA group (2.33 ± 0.98 vs. 2.82 ± 1.29, P = 0.031). The complaints for scar status 1 month postoperatively did not differ significantly between the groups. Conclusion NASILA could attenuate postoperative pain by minimizing the size of the surgical wound; further, NASILA may not be inferior to SILA in terms of cosmetic results. |
| اللغة: | English |
| تدمد: | 2288-6796 2288-6575 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e91ec54e4bd1aff206bfa2c8b7c9d447 http://europepmc.org/articles/PMC8651985 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....e91ec54e4bd1aff206bfa2c8b7c9d447 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22886796 22886575 |
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