Mini laparoscopy appendectomy early experience

Abstract

Background and Purpose: Laparoscopy in general surgery has become a gold standard for many general surgery procedures like appendectomy. Now the focus is shifting to decrease the pain and better cosmesis. Mini laparoscopy is also an effort to reduce post-operative pain and improve cosmesis, in which smaller size ports and instruments (3mm) are used. This study was designed to study the post-operative pain and cosmesis with use of 3mm trocars and instruments in combination with standard 10mm laparoscope in laparoscopic appendectomy. Methods: We used two 3mm trocars and instruments in addition to a 10mm umbilical port (for 10 mm 30-degree laparoscope) for laparoscopic appendectomy. Total 25 cases were performed. Post-operative pain, cosmesis, complications, difficulties are noted. Main findings: The use of 3mm instruments was safe and feasible in all appendectomies. The surgical technique was not modified. No complications have been described. Less pain at the site of insertion has been reported as compared to 5 mm ports. Conclusions: Mini laparoscopic appendectomy with 3mm instruments is offering better cosmetic results and good pain control. It is easy with short learning curve.