Chen Y, Fan ZQ, Fu XA, Zhang XX, Yuan JQ, Guo SG. Modified technical protocol for single-port laparoscopic appendectomy using needle-type grasping forceps for acute simple appendicitis: A case report. World J Gastrointest Surg 2024; 16(10): 3328-3333 [PMID: 39575287 DOI: 10.4240/wjgs.v16.i10.3328]
Corresponding Author of This Article
Shi-Gang Guo, Professor, Department of Gastrointestinal Surgery, Chaoyang Central Hospital, China Medical University, No. 2-6 Chaoyang Street, Shuangta District, Chaoyang 122000, Liaoning Province, China. gsg0036@foxmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Yang Chen, Zong-Qi Fan, Jie-Qing Yuan, Shi-Gang Guo, Department of Gastrointestinal Surgery, Chaoyang Central Hospital, China Medical University, Chaoyang 122000, Liaoning Province, China
Xin-Ao Fu, Xiao-Xin Zhang, Department of Gastrointestinal Surgery, Chaoyang Central Hospital, Postgraduate Training Base of China Medical University and Jinzhou Medical University, Chaoyang 122000, Liaoning Province, China
Author contributions: Chen Y and Guo SG designed research; Chen Y performed surgical procedures; Chen Y, Fan ZQ, Fu XA, and Zhang XX performed research; Zhang XX and Yuan JQ participated in patient care and analyzed data; Chen Y wrote the paper. All authors reviewed and approved the final manuscript.
Supported byNatural Science Foundation of Liaoning Province, No. 2023-MS-354; and Science and Technology Project for Youth of Chaoyang Central Hospital, China Medical University.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shi-Gang Guo, Professor, Department of Gastrointestinal Surgery, Chaoyang Central Hospital, China Medical University, No. 2-6 Chaoyang Street, Shuangta District, Chaoyang 122000, Liaoning Province, China. gsg0036@foxmail.com
Received: May 18, 2024 Revised: August 21, 2024 Accepted: August 29, 2024 Published online: October 27, 2024 Processing time: 133 Days and 0.3 Hours
Abstract
BACKGROUND
Because of the mild inflammatory status in acute uncomplicated appendicitis, our team developed a novel technical protocol for single-port laparoscopic appendectomy using needle-type grasping forceps (SLAN) and achieved positive clinical outcomes. However, the intraoperative procedure lacked stability and fluency due to a series of problems highlighted by the small incision design of the protocol (only 1 cm long). Therefore, there is a growing clinical demand to further optimize the SLAN protocol.
CASE SUMMARY
An adult male patient was admitted for persistent right lower abdominal pain with preoperative computed tomography findings suggestive of appendicitis accompanied by localized peritonitis. A modified technical protocol for SLAN based on minimally invasive surgical principles was used, and the patient was confirmed to have acute simple appendicitis by postoperative pathological analysis. Postoperative recovery was uneventful, and no postoperative complications, such as incision infection or severe incision pain, were observed. The patient was discharged successfully on postoperative day 2.
CONCLUSION
The modified technical protocol of SLAN may be a new minimally invasive surgical alternative for patients with acute simple appendicitis.
Core Tip: The single-port laparoscopic technique is widely used by surgeons worldwide because it results in minimal surgical stress and fast postoperative recovery. Our center first reported a modified protocol of single-port laparoscopic appendectomy using needle-type grasping forceps (SLAN) for an adult patient with acute simple appendicitis, further expanding the indications and safety of the initial protocol. The patient recovered smoothly after surgery, the pain response was mild, the umbilical incision was small and hidden, the cosmetic effect was good, and no postoperative complications were observed. Our results showed that the modified technical protocol of SLAN may be a preferential surgical option for acute simple appendicitis.
