The Effectiveness of Using Single Port Laparoscopic Appendectomy Versus Single Incision Multiport Laparoscopic Appendectomy


  • Sunthorn Teerapattanapong, M.D. Department of Surgery, Kalasin Hospital


Single port laparoscopic appendectomy, Single incision multiport laparoscopic appendectomy, Acute appendicitis, Post operative pain


Background : Acute appendicitis is the most frequent disease found in acute abdominal condition. It is generally recognized that laparoscopic surgery resulted in less pain than open surgery. There are two techniques of laparoscopic surgery, including single port and single incision multiport.Objective : This study aimed to compare pain score, morphine consumption and length of hospital stay between single port and single incision multiport techniques.Method : The randomized controlled trial was conducted on 120 acute appendicitis patients who had a laparoscopic appendectomy from 1st January to 31st December 2019. After obtaining ethical approval and written informed patient consent, 120 patients were randomly assigned into two groups, including single port group (n = 60) and single incision multiport group (n = 60). These two groups were compared for demographics, morphine consumption, pain score and length of hospital stay.Results : Regarding the personal information of patients in both groups were no differences in terms of age, gender, BMI, ASA classification, types of appendicitis, duration of symptoms, operative time and operative blood loss. The results also revealed no significant differences in post operative pain after 8, 12 and 24 hours. The average pain score of the single incision multiport group after the 8, 12 and 24 hours of operation were 5.27±2.36, 3.53±2.27 and 2.13±1.60, while mean pain score of the single port group after the 8, 12 and 24 hours of operation were 4.33±1.97, 3.17±2.04 and 1.91±1.51 with the p–value of 0.025, 0.338, 0.626 respectively. The mean length of hospital stay between single incision multiport and the single port group was 29±12.32 and 25±7.74 hours respectively with the p–value 0.038.Conclusion : The single incision multiport laparoscopic and single port are easy technique, economical and had no differences in post operative pain score. Even there was a minimal different in hospital length of stay between the two groups but it was not affects daily hospital cost or hospital bed occupied.


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Ferris M, Quan S, Kaplan BS, Molodecky N, Ball CG, Chernoff GW,et al. The global incidence of appendicitis: a systematic review of population-based studies. Ann Surg 2017; 266: 237–41.

Chatbanchai W, Hedley AJ, Ebrahim SB, Areemit S, Hoskyns EW,de Dombal FT. Acute abdominal pain and appendicitis in north east Thailand. Paediatr Perinat Epidemiol 1989; 3: 448–59.

Dahdaleh FS, Heidt D, Turaga KK. The Appendix. In: Andersen DK, Billiar TR, Dunn DL, Hunter JG, Kao LS,Matthews JB,editors. Schwartz’s principles of surgery. 11th edition. New York: McGraw-Hill Education;2014.

Cavusoglu YH, Azili MN, Karaman A, Aslan MK, Karaman I,Erdogan D, Tutun O. Does gum chewing reduce postoperative ileus after intestinal resection in children?. A prospective randomized controlled. Eur J Pediatr Surg 2009; 19: 171-73.

Sauerland S, Jaschinski T, Neugebauer EA. Laparoscopic versus open surgery for suspected appendicitis.Cochrane Database Syst Rev 2010; 6: CD001546.

Kumar S, Jalan A, Patowary BN, Shrestha S. Laparoscopic appendectomy versus open appendectomy for acute appendicitis: a prospective comparative study. Kathmandu Univ Med J (KUMJ) 2016; 14: 244–8.

Wu TC, Lu Q, Huang ZY, Liang XH. Efficacy of emergency laparoscopic appendectomy in treating complicated appendicitis for elderly patients. Saudi Med J 2017; 38: 1108–12.

Ciarrocchi A, Amicucci G. Laparoscopic versus open appendectomy in obese patients: a meta-analysis of prospective and retrospective studies. J Minimal Access Surg 2014; 10: 4–9.

Liu Y, Cui Z, Zhang R. Laparoscopic versus open appendectomy for acute appendicitis in children. Indian Pediatric 2017; 54: 938–41.

Jaschinski T, Mosch C, Eikermann M, Neugebauer EA.Laparoscopic versus open appendectomy in patients with suspected appendicitis: a systematic review of meta-analyses of randomised controlled trials.BMC Gastroenterol 2015; 15: 48.

Cipe G, Idiz O, Hasbahceci M, Bozkurt S, Kadioglu H, Coskun H,et al. Laparoscopic versus open appendectomy: where are we now? Chirurgia 2014; 109: 518-22

Mori RV, Rufino JE, Gonzalez FH, Carballal MCM, Arias AE, Kissler JJO. Prospective, randomized comparative study between single-port laparoscopic appendectomy and conventional laparoscopic appendectomy. Cir Esp 2014; 92: 472 – 7.

Kang J, Bae BN, Gwak G, Park I, Cho H, Yang K, et al. Comparative study of a single-incision laparoscopic and a conventional laparoscopic appendectomy for the treatment of acute appendicitis. J Korean Soc Coloprotol 2012; 28: 304-8.

Choi GJ, Kang H, Kim BG, Choi YS, Kim JY, Lee S. Pain after single-incision versus conventional laparoscopic appendectomy: a propensity-matched analysis. J Surg Res 2017; 212: 122-9.



How to Cite

Teerapattanapong ส. The Effectiveness of Using Single Port Laparoscopic Appendectomy Versus Single Incision Multiport Laparoscopic Appendectomy. j dept med ser [Internet]. 2021 Jun. 18 [cited 2022 Aug. 14];46(1):17-23. Available from:



Original Article