Single-incision laparoscopic appendectomy versus conventional laparoscopy in adults. A systematic review
Autor
Moraga Concha J.A.
Cartes-Velásquez R.
Delgado C.M.
Resumen
PURPOSE: To determine the best treatment option for not complicated acute appendicitis (AA) in adult patients, between single incision laparoscopy (SIL) and conventional laparoscopy (CL), measured by morbidity associated with disease.METHODS: Systematic review. Articles of adults diagnosed with AA treated by SIL or CL were analyzed. Databases included: MEDLINE, LILACS, IBECS, Web of Science, Scopus and Cochrane, using MeSH terms and free words. The studies were analyzed using the MINCIR methodology. Variables included: conversion rate, morbidity, hospital stay, surgery duration, and methodological quality (MQ) of primary studies. Averages, medians and weighted averages were calculated.RESULTS: Thirteen articles were analyzed. For SIL and CL the conversion rate were 3.4% and 0.7%, the morbidity were 8% and6.5%, the hospital stay were 2.5 and 2.8 days, the surgery duration were 53.4 and 53.8 minutes, and the MQ were 14.3±6.6 and 16.0±6.9 points, respectively.CONCLUSION: With the exception of the conversion rate, there are no differences between single incision laparoscopy and conventional laparoscopy for the treatment of acute appendicitis in adults. © 2014, Sociedade Brasileira para o Desenvolvimento de Pesquisa em Cirurgia. All rights reserved.
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