Modified single-port laparoscopic appendectomy using needle-type grasping forceps vs conventional three-port laparoscopic appendectomy for acute uncomplicated appendicitis

doi:10.4240/wjgs.v17.i4.102607

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Apr 27, 2025; 17(4): 102607
Published online Apr 27, 2025. doi: 10.4240/wjgs.v17.i4.102607

Table 1 Baseline demographics and preoperative clinical data, mean ± SD

Variable	mSLAN group (n = 36)	CLA group (n = 36)	P value
Age, years	36.92 ± 15.4	38.08 ± 20.13	0.783
Sex, male/female	20/16	19/17	0.815
BMI, kg/m²	23.86 ± 3.23	24.15 ± 4.4	0.748
ASA	1.5 ± 0.51	1.53 ± 0.51	0.817
Disease course, hours	21.39 ± 17.53	19.71 ± 17.04	0.681
Preoperative data
WBC, × 10⁹/L	12.42 ± 4.6	12.59 ± 4.75	0.877
NEU, %	80.33 ± 11.31	78.75 ± 10.95	0.549
CRP, μg/L	16.08 ± 24.63	19.53 ± 26.49	0.569
IL-6, ng/L	90.45 ± 301.61	95.41 ± 279.34	0.942
VAS scores	2.92 ± 0.28	2.89 ± 0.4	0.733

mSLAN: Modified single-port laparoscopic appendectomy using needle-type grasping forceps; CLA: Conventional three-port laparoscopic appendectomy; BMI: Body mass index; ASA: American Society of Anesthesiologists physical status; WBC: White blood cells; NEU: Neutrophil ratio; CRP: C-reactive protein; IL-6: Interleukin-6; VAS: Visual analog scale.

Table 2 Postoperative clinical outcomes between different surgical protocol groups, mean ± SD

Variable	mSLAN group (n = 36)	CLA group (n = 36)	P value
Postoperative 12-hour VAS scores	1.81 ± 0.58	1.94 ± 0.48	0.268
Postoperative 24-hour VAS scores	1.28 ± 0.45	1.47 ± 0.51	0.091
Postoperative 24-hour laboratory test outcomes
WBC, × 10⁹/L	9.18 ± 3.38	9.79 ± 3.72	0.465
NEU, %	73.8 ± 8.99	72.99 ± 10.35	0.725
CRP, mg/L	49.09 ± 36.51	58.43 ± 58.41	0.419
IL-6, pg/L	11.07 ± 17.22	15.66 ± 25.35	0.371
First postoperative exhaust time, hours	20.22 ± 8.62	22.24 ± 11.76	0.41
First out-of-bed activity time, hours	15.51 ± 6.39	16.38 ± 6.57	0.575
Operative time, minutes	38.67 ± 14.05	34.5 ± 11.44	0.172
Postoperative hospital stay, days	3.06 ± 1.13	3.17 ± 1.04	0.664
Cost of hospitalization, yuan	10776.75 ± 1117.8	10417.51 ± 1207.42	0.194

Citation: Chen Y, Guo SG, Fu XA, Fan ZQ, Yuan JQ, Zhang XX, Liu H, Liu Z, Huang YS, Song L. Modified single-port laparoscopic appendectomy using needle-type grasping forceps vs conventional three-port laparoscopic appendectomy for acute uncomplicated appendicitis. World J Gastrointest Surg 2025; 17(4): 102607
URL: https://www.wjgnet.com/1948-9366/full/v17/i4/102607.htm
DOI: https://dx.doi.org/10.4240/wjgs.v17.i4.102607