Impact of body habitus on single-site laparoscopic appendectomy for nonperforated appendicitis: subset analysis from a prospective, randomized trial

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
E Marty KnottShawn D St Peter

Abstract

There have been several series documenting the utility of single-site laparoscopic appendectomy. However, there are no data to support patient selection based on their physical characteristics. We recently completed a large prospective, randomized trial comparing single-site laparoscopic appendectomy with standard three-port laparoscopic appendectomy for nonperforated appendicitis. This dataset was used to examine the relative impact of body habitus on operative approach. We performed an analysis of the dataset collected in a prospective, randomized trial of 360 appendectomy patients who presented with nonperforated appendicitis. Body mass index (BMI) was calculated and plotted on a growth chart to obtain BMI percentile according to gender and age. Standard definitions for overweight (BMI 85-95%) and obesity (BMI >95%) were used. In the single-site group there were 26 overweight and 19 obese patients. In the three-port group there were 25 overweight and 16 obese patients. There were no significant differences between overweight and normal with either approach. However, with the single-site approach there was longer mean operative time, more doses of postoperative narcotics given, longer length of stay, and greater hospital char...Continue Reading

References

Dec 21, 2004·The British Journal of Surgery·A-C MobergA Montgomery
Dec 24, 2005·Annals of Surgery·Omer AzizAra Darzi
Mar 29, 2006·Journal of Pediatric Surgery·Curt S KoontzMichael Carr
Feb 6, 2007·Irish Medical Journal·K ChauhanS Awadalla
Mar 16, 2007·World Journal of Surgery·Ciro EspositoLuciano Mastroianni
Nov 17, 2007·American Journal of Surgery·Michael G CorneilleRonald M Stewart
Jun 4, 2008·American Journal of Surgery·J Esteban VarelaNinh T Nguyen
Dec 2, 2008·Journal of Pediatric Surgery·Shawn D St PeterDaniel J Ostlie
Jun 12, 2009·Surgical Endoscopy·Hong-Bo WeiTian-Bao Wang
Jul 7, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Todd A PonskyScott Boulanger
Sep 16, 2009·Pediatrics·Stephen R Daniels
Mar 12, 2010·Acta Paediatrica·Thomas PetnehazyJ Schalamon
Mar 26, 2010·Surgical Endoscopy·Andre ChowParaskevas Paraskeva
Apr 16, 2010·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Junhyun LeeWook Kim
Oct 1, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sergio B SesiaJohannes Mayr
Sep 29, 2011·Annals of Surgery·Shawn D St PeterDaniel J Ostlie
Oct 5, 2011·Seminars in Pediatric Surgery·Shawn D St Peter, Daniel J Ostlie
Dec 8, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jongkyung ParkSeong Lee

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Citations

Mar 12, 2013·Pediatric Surgery International·Balazs Kutasy, Prem Puri
Oct 30, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jie Ding, Guo-qing Liao
Jul 11, 2013·World Journal of Gastroenterology : WJG·Ping LiDao-Rong Wang
Feb 7, 2014·Journal of Minimal Access Surgery·Andrea Ciarrocchi, Gianfranco Amicucci
Jun 12, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Nicole E SharpShawn D St Peter
Nov 12, 2013·Asian Journal of Surgery·Cihan UrasIsmail Hamzaoğlu
Dec 29, 2013·American Journal of Surgery·Stavros A AntoniouFrank A Granderath
Aug 26, 2015·Asian Journal of Endoscopic Surgery·Hiroya KuroyanagiMasahiko Watanabe
Jul 2, 2016·The Journal of Surgical Research·Cristen N LitzNicole M Chandler
Apr 13, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jie DingZhong-shu Yan
Apr 14, 2021·The Journal of Surgical Research·Laura F GoodmanFaraz A Khan

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