- 作者：Aless ; ra C. Gasior ; E. Marty Knott ; George W. Holcomb III ; Daniel J. Ostlie ; Shawn D. St. Peter
- 关键词：Single-incision ; Laparoscopy ; Appendectomy ; Cosmetic ; Pediatrics
- 刊名：Journal of Pediatric Surgery
- 出版年：January, 2014
- 年：2014
- 卷：49
- 期：1
- 页码：120-122
- 全文大小：196 K
Background
Single site laparoscopy for appendectomy is a technique with several case series suggesting a cosmetic advantage, but without prospective comparative data. We conducted a prospective, randomized trial comparing single site laparoscopic appendectomy to the standard 3-port approach, including scar assessment at early and long-term follow-up.Methods
Enrolled patients over 12 years old and parents of patients less than 12 years old were asked to complete the validated Patient Scar Assessment Questionnaire (PSAQ) at early follow-up around 6 weeks and by phone after 18 months. The PSAQ consists of 4 scored subscales: Appearance, Consciousness, Appearance Satisfaction, and Symptom Satisfaction. Each subscale has a set of questions with a 4-point categorical response (1 = most favorable, 4 = least favorable). The sum of the scores quantifies each subscale.
Results
Early questionnaires were obtained from 98 3-port and 100 single-site patients with the single-site approach producing superior overall scar assessment (P = 0.003). By telephone follow-up, questionnaires were completed by 49 3-port and 56 single-site patients at a median of 25 (18-32) months. In this longer-term follow-up, overall scar assessment was not significantly different between groups (P = 0.06).
Conclusion
Patients or parents express superior scar assessment with the single site approach at early follow-up, but this difference disappears in the long-term.