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. 2024 Feb 8;38(4):1667–1684. doi: 10.1007/s00464-023-10659-w

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