Farid Mohamed, Baz Azza, Riad Mohamed, Elsayed Ashraf Abdelmonem, Arafa Ahmed Salah, Elsayed Rasha S, Ramadan Alaaedin, Heggy Ibrahim A, Elaidy Mostafa M
General Surgery Department, Zagazig University, Zagazig City, Egypt.
General Surgery Department, Al-Ahrar Teaching Hospital, Zagazig City, Egypt.
Surg Endosc. 2025 Jun;39(6):3814-3820. doi: 10.1007/s00464-025-11743-z. Epub 2025 May 6.
Laparoscopic appendectomy is now the gold-standard treatment for acute appendicitis, requiring three ports for a classic procedure. Recent laparoscopy improvements aim to minimize surgical trauma and improve cosmetic quality through smaller, fewer portal incisions, such as two-port laparoscopic appendectomy, resulting in reduced postoperative pain. We aimed in this study to describe a novel technique to facilitate two-port laparoscopic appendectomy using the endoscopic snare.
The data for a total of 85 patients, who underwent the two-port laparoscopic appendectomy using the endoscopic snare, at two research centers in Zagazig city, Egypt, from July 2022 till July 2023, is retrospectively analyzed. Overall length of hospital stay was the primary outcome, and the duration of operation and patient cosmetic satisfaction were secondary endpoints.
All the 85 laparoscopic procedures were completed without difficulty. The mean operative time was 43.78 ± 8.46 min (minimum: 34 min, maximum: 57 min). Length of hospitalization was 1.12 ± 0.74 days (min: 1 day, max: 2 days). No major complications were encountered. Four cases of minor postoperative complication occurred, in which the patient developed port site infection, which was completely resolved at one week postoperatively.
Laparoscopic appendectomy, using only two ports and endoscopic snare, is generally feasible and has been linked to high patient satisfaction and excellent cosmetic outcomes.
腹腔镜阑尾切除术现已成为急性阑尾炎的金标准治疗方法，经典手术需要三个切口。最近腹腔镜技术的改进旨在通过更小、更少的切口来减少手术创伤并提高美观度，例如两孔腹腔镜阑尾切除术，可减轻术后疼痛。本研究旨在描述一种使用内镜圈套器辅助两孔腹腔镜阑尾切除术的新技术。
回顾性分析了2022年7月至2023年7月在埃及扎加齐格市两个研究中心接受使用内镜圈套器的两孔腹腔镜阑尾切除术的85例患者的数据。住院总时长是主要结局指标，手术时长和患者对美观的满意度为次要终点指标。
所有85例腹腔镜手术均顺利完成。平均手术时间为43.78 ± 8.46分钟（最短：34分钟，最长：57分钟）。住院时长为1.12 ± 0.74天（最短：1天，最长：2天）。未出现重大并发症。发生了4例轻微术后并发症，患者出现了切口部位感染，术后一周完全缓解。
仅使用两个切口和内镜圈套器的腹腔镜阑尾切除术总体上是可行的，且患者满意度高，美观效果良好。
