Table 2.
Technical details of the procedures for single-incision laparoscopic appendectomy (SILA) and conventional three-port laparoscopic appendectomy (CLA)
| References | SILA trocar [skin incision length] |
Type of instrument for SILA | CLA ports | Stump sealing (CLA and SILA) | Mesoappendix division (CLA and SILA) |
|---|---|---|---|---|---|
| Shalaby et al. [12] |
Home-made latex surgical glove single port [18 mm] |
Dedicated |
5 mm trans umbilical 3 mm right upper quadrant 5 mm left lower quadrant |
Two home-made endoloops 2/0 vicryl | Monopolar electrocautery |
| Zahara et al. [13] |
Multi- channel port [NR] |
Conventional |
10 mm intra-umbilical 10 mm port left iliac fossa 5 mm hypogastrium |
Endoloop | Diathermy |
| Duza et al. [14] |
One 10 mm port and one 5 mm port (in 31 cases homemade latex gloves,in 6 GelPOINT Mini (Applied Medical), 2 SILS™ Port (Medtronic), in 36 no device) [NR] |
Conventional |
10 mm umbilical 10 mm soprapubic 5 mm left iliac fossa |
Polyglactin suture | Monopolar electrocautery |
| Golebiewski et al. [20] |
SILSPort™ [30 mm] |
Dedicated |
5 mm umbilical 5 mm soprapubic 5 mm left lower quadrant |
Endoloop | Monopolar cautery |
| Moriguchi et al. [15] |
EZ Access port (Hakko) + 2.4 mm percutaneous insertion grasper (MiniLap; Teleflex, Morrisville, NC) placed using puncture technique at the suprapubic region [15 mm] |
Dedicated |
12 mm umbilical 5 mm left lower abdomen 5 mm suprapubic |
Endoloop | Ultrasonically activated device |
| Mo Kang et al. [21] |
Homemade glove port (50 procedures), Octoport® (dalimSurgNET Inc. Seoul, Korea) (40 procedures) [15–30 mm] |
Dedicated |
10 mm supra/infraumbilical 5 mm left lower quadrant 5 mm suprapubic |
NR | NR |
| Alexander et al. [22] | NR | ||||
| Kai Wu et al. [29] |
Use of CLA equipment: 3 ports of 5 mm periumbical, later 2 changed to 10 or 12 mm [10 mm, 5 mm] |
Conventional |
10 or 12 mm umbilical 5 mm left mid abdomen 5 mm left suprapubic |
Endoloop | Ultrasonic scalpel |
| Carter et al. [23] |
SILS Port, Covidien [30 mm] |
Conventional |
12 mm umbilical 5 mm left lower quadrant 5 mm suprapubic midline |
Linear stapler or looped suture | Cutting-and-sealing device |
| Mori et al. [24] |
SILS Port, Covidien [25–30 mm] |
Dedicated |
Hasson Trocar periumbilical 5 mm left iliac fossa 11 mm soprapubic |
Endoloop, Endograsp |
Endoclip |
| Frutos et al. [4] |
SILS port (Covidien, Mansfield, Massachusetts, USA) [20 mm] |
Dedicated |
11 mm umbilical 12 mm lower left quadrant 5 mm right upper quadrant |
Endoloop | Endostapler |
| Kye et al. [26] |
Home-made glove port [20 mm] |
Conventional |
10 mm umbilical 5 mm suprapubic 5 mm left lower quadrant |
Endoloop | Ultrasonic shears |
| Lee et al. [28] |
Octoport (Dalim,Seoul,Korea) [15 mm] |
Conventional |
10 mm umbilical 5 mm soprapubic 5 mm left lower quadrant |
Endoloop | Ultrasonic shears |
| Pan et al. [16] |
5 mm and 10 mm trocar [15 mm] |
Conventional |
10 mm umbilical 10 mm right abdomen 5 mm suprapubic |
Absorbable ligating clip cartridge | Ultrasound knife |
| Perez et al. [17] |
Triangular orientation at the umbilicus: one 5 mm middle port, two 5 mm lateral ports, later one changed to 12 mm [NR] |
Dedicated | NR | NR | Stapler |
| Scarless et al. [19] |
Multi- channel port [NR] |
Conventional |
10–12 mm intra/supraumbilical 5 or 10 mm left iliac fossa 5 mm hypogastrium |
NR | NR |
| Sozutek et al. [25] |
SILS port (Covidien, Mansfield, Massachusetts, USA) [20 mm] |
Conventional |
10 mm umbilical 5 mm right lower quadrant 5 mm soprapubic |
Polypropylene suture | Ultrasonic shears |
| Teoh et al. [27] |
Multiple fascial inserction (two 5 mm ports and one 10 mm port) [13 mm] |
Dedicated and conventional |
10 mm umbilical 5 mm left lower quadrant 5 mm right lower quadrant |
Endoloop | Ultrasonic shears |
| Villalonga et al. [18] |
TriPort (Advanced Surgical Concepts, Wicklow, Ireland) and SILS Port [15–20 mm] |
Dedicated | NR | Endoloops | NR |
| St. Peter et al. [33] |
NR [10–20 mm] |
Dedicated |
12 mm port transumbilical 5 mm left lower quadrant 5 mm suprapubic region |
NR | NR |
| Park et al. [31] |
Surgical glove port attached using 3 trocars fixed to the outer ring of a wound retractor [NR] |
Dedicated | two 5 mm trocars and a 10 mm trocar | Endoloop | Scalpels or endoclips |
NR, not recorded; SILA, single-incision laparoscopic surgery; CLA, conventional three-port laparoscopic appendectomy