Edorium Journal of


Original Article
Two-port laparoscopic appendectomy
Mohamed Lotfy1, Mostafa M. Khairy1, Mohamed S. Moussa1
MD, Department of Surgery, Faculty of Medicine, Zagazig University, Egypt

Article ID: 100020S05ML2017

Address correspondence to:
Mohamed Lotfy
Department of Surgery, Faculty of Medicine
Zagazig University

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How to cite this article
Lotfy M, Khairy MM, Moussa MS. Two-port laparoscopic appendectomy. Edorium J Surg 2017;4:18–22.


Aims: In this study, we aimed at evaluating the feasibility of using only two ports to perform laparoscopic appendectomy for selected cases of acute appendicitis.
Methods: Thirty-four patients were diagnosed to have acute appendicitis. diagnostic laparoscopy was done to confirm the diagnosis and to assess the feasibility of the two-port technique. A yellow spinal needle was inserted in the right iliac fossa and its tip was fashioned like a hook and anchored the appendix. Then the needle was fixed on the abdominal wall by an artery forceps. The appendix was skeletonization by the monopolar diathermy and the base was controlled by an extracorporeal knots and the appendix was removed.
Results: Thirty-four patients were operated by the two-port technique. The mean age of our patients was 24.7 years and ranged 17–33 years and the female:male ratio was 10:7. The mean operative time was 56.3 minutes and ranged 42–75 minutes. The mean hospital stay was 1.2 days and ranged 1–3 days. Only one patient had postoperative ileus which was resolved by conservative management within two days. There was only one patient who developed port site wound infection at the left iliac fossa wound four days after discharge.
Conclusion: Performing laparoscopic appendectomy with only two ports is almost reasonably priced, it is safe in selected patients, can be simply taught, and it is applicable in hospitals that lack the highly developed laparoscopic tools. It is also considered as a transitional step between the conventional laparoscopy and the single site laparoscopy.

Keywords: Appendectomy, Laparoscopic, Spinal needle, Two-port

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Author Contributions
Mohamed Lotfy – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mostafa M. Khairy – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mohamed S. Moussa – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
Conflict of interest
Authors declare no conflict of interest.
© 2017 Mohamed Lotfy et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.

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