A Single Case of Single-Port Access Laparoscopic Appendectomy During the Puerperium

作者：Matsuhashi Nobuhisa; Takahashi Takao; Ichikawa Kengo; Yawata Kazunori; Tanahashi Toshiyuki; Imai Hisashi; Sasaki Yoshiyuki; Tanaka Yoshihiro; Okumura Naoki; Yamaguchi Kazuya; Osada Shinji; Yoshida Kazuhiro^*

来源：International Surgery, 2015, 100(1): 101-104.

DOI：10.9738/INTSURG-D-14-00123.1

• PLA (single-port laparoscopic appendectomy)
• Puerperium

Laparoscopic appendectomy is now widely practiced for the treatment of acute appendicitis. As result of increased demand for minimally invasive surgery, single-incision access was introduced and is being performed in various abdominal surgeries. Conventional laparoscopic appendectomy (LA) is gradually being performed in pregnant women. A 33-year-old woman was referred to our department at 39 weeks and 1 day of gestation due to abdominal pain. She was aware of her gastroepiploic pain even after the delivery. Though it was past 2 days, she was not recovering from right lower abdominal pain, so she was transferred to the Department of Gynecology at our hospital on the same day. Although an antibiotic was administered, the right abdominal pain did not improve, and she was referred to our department from the Department of Gynecology. We performed single-port LA (SP-LA). The total operation time was 63 minutes, and the estimated blood loss was 0 mL. She was discharged with no complications on postoperative day 7. We report our initial experience with single-port LA (SP-LA) using the glove technique for treatment of acute appendicitis in a postpartum woman. SP-LA using the glove technique was performed successfully during the puerperium without prolongation of operation time. This approach is less invasive, offers a much better cosmetic result than with conventional methods, and can be performed safely and at low cost.

• 出版日期2015-2