Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Homemade and commercialized single-assess port devices are two kinds of port devices commonly used for single-incision laparoscopic appendectomy. This study aimed to compare these two port devices in terms of short-term surgical outcomes and medical costs.
The advantages of homemade port devices include accessibility of the composites and lower equipment costs to the patients; however, the potential disadvantage is the easy leakage of CO2, ballooning of the surgical glove, and device instability, leading to difficult maneuverability. On the other hand, commercialized port devices have relatively easy maneuverability, flexibility for instrument changes, and port stability for long-duration surgery ; however, their higher equipment cost is a disadvantage.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Handmade single-access port device | The homemade single-access device was composed of a wound protector, sterile surgical glove, and three trocars inserted into and secured over three digits of the glove | ||
| Commercialized single-access port devices | Commercialized single-access port devices including GelPOINT® (Applied Medical, Rancho Santa Margarita, CA, USA) and LAGIPORT® (LAGIS, Taichung, Taiwan) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Commercialized single-access port devices | Procedure | Two kinds of commercialized single-access port devices were used. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Total surgical complications | Complications were defined by Clavien-Dindo classification and comprehensive complication index. | Complications happened within 30 days |
| Superficial incisional surgical site infection (SSI) | SSI was defined according to the American Centers for Disease Control and Prevention (CDC) classification | Complications happened within 30 days |
| Deep/organ SSI | SSI was defined according to the American Centers for Disease Control and Prevention (CDC) classification | Complications happened within 30 days |
| Postoperative ileus | Postoperative ileus was defined as the presence of symptoms and signs of abdominal distention, nausea, or vomiting combined with abdominal radiography, such as plain radiography or CT, within 30 days after SILA. | Complications happened within 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Surgical time | Total time needed for completing surgery | Time from skin incision to application of gauzes |
| Time to resume soft diet | Total time needed to resume bowel ability to resuming soft diet |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Acute appendicitis patients
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Yu-Tso LIAO, MD | NTUH, Hsin-Chu Hospital | Principal Investigator |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| The time to resume a soft diet was measured as the duration between the time leaving the recovery room and the time to resume a soft diet recorded in the nursing note. |
| Postoperative length of hospitalization | Total time to stay in hospital | Postoperative LOH was defined as the duration between leaving the recovery room and discharge. |
| Total medical costs | Medical costs were defined as the medical fees paid by the National Health Insurance and did not include the self-paid equipment fees needed in SILA (e.g., commercialized single-access port devices, or wound protector). | From the time patient being brought to emergency room to the time patient being discharged |