Surgical outcomes of single-port laparoscopic surgery compared with conventional laparoscopic surgery for appendiceal mucinous neoplasm

Abstract

Purpose: This study aimed to evaluate the safety and feasibility of single-port laparoscopic surgery (SLS) for appendiceal mucinous neoplasm (AMN) when compared with conventional laparoscopic surgery (CLS). Methods: This retrospective study enrolled patients who underwent surgery for AMN between July 2014 and June 2020 at Seoul National University Bundang Hospital. Patient demographics, surgical data, pathology, hospital stay, postoperative morbidity, and follow-up data were extracted from electronic records for analysis. Results: We enrolled 18 patients who underwent SLS and 22 who underwent CLS. The SLS group included patients who underwent partial cecectomy (14 patients), ileocecectomy (3 patients), and right hemicolectomy (1 patient). The CLS group included patients who underwent appendectomy (4 patients), partial cecectomy (11 patients), ileocecectomy (5 patients), and right hemicolectomy (2 patients). Operation type was not significantly different between groups (P=0.213). No patient required open surgery in the SLS group in contrast to the CLS group (13.6%; P=0.238). The operative time tended to be shorter in the SLS group than the CLS group (median [interquartile range]: 52.5 minutes [40-65.2 minutes] and 60 minutes [40-120 minutes], respectively; P=0.251). Morbidity was 5.5% in the SLS group and 9.0% in the CLS group (P=0.692). Surgical margins were clear in all cases. The median duration of postoperative hospital stay was 2.0 and 4.0 days in the SLS and CLS groups, respectively (P=0.013). No recurrence occurred in either group during follow-up. Conclusion: This study indicates that SLS is a safe and feasible surgical approach for AMN.