Comparación de apendicectomía laparoscópica de puerto único con abordaje de 3 puertos, Hospitales "José Carrasco Artega" y "Vicente Corral Moscoso"

Abstract

Objective: To compare the single-port laparoscopic appendectomy with 3 ports surgery in patients with acute appendicitis from the hospitals “Vicente Corral Moscoso” and “José Carrasco Arteaga” during 2013. Materials and Methods: An experimental study was done in which were included 170 emergency patients from the hospitals “Vicente Corral Moscoso” and “José Carrasco Arteaga”; half of them, underwent the appendectomy with single port (group 1) and the other half underwent the appendectomy with 3 ports (group 2). Results: The most affected age group was between 18 and 25 years, and the male gender predominates in both groups. The operating time of 61-120 minutes was 61.2 % in group 1, in group 2 was 55.3 %. The mild pain postoperative was presented in group 1 in 63.5% and in group 2 was 41.2%, with a hospital stance of 13-24 hours in the group 1 with 62.4%. Meanwhile in group 2, about 25 to 36 hours with 47.1%. Analyzing the results of the single port with less surgical time, we found an RR of 0.71 (95% CI 0.4-1.2), RRR 0.29, NNT 15, RAR 0.07; for pain intensity (mild) RR of 1.54 (CI 95% 1.1-2), RRR -0.54, RAR -0.22 and NNT 5 and for shorter hospital stay (less than 12 hours) RR = 3.5 0.71 (95% CI 0.75 to 12.3) -2.5 RRR, NNT 17 RAR 0.06. Conclusion: The single port laparoscopic appendectomy has similar results with international research only on postoperative pain compared to 3 port access.