eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
Current issue Archive Videoforum Manuscripts accepted About the journal Supplements Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank

vol. 13
Original paper

Hybrid appendectomy with classic trocar on McBurney’s point

Mehmet Emin Gunes, Feyzullah Ersoz, Yigit Duzkoylu, Soykan Arikan, Coskun Cakir, Ali Emre Nayci

Videosurgery Miniinv 2018; 13 (1): 57–61
Online publish date: 2017/09/26
View full text
Get citation
JabRef, Mendeley
Papers, Reference Manager, RefWorks, Zotero
Appendectomy is still the most commonly performed intra-abdominal operation worldwide. Interestingly, it has not reached the same popularity as other laparoscopic surgical procedures. Although multiple techniques have been described, a standard approach has not been described for the laparoscopic technique yet.

To perform hybrid appendectomy for acute appendicitis on McBurney’s point, aiming to perform an easier and quicker procedure while limiting the trauma to the abdominal wall by obtaining the advantages of both laparoscopic and open techniques.

Material and methods
We retrospectively evaluated the results of 24 patients on whom we had performed hybrid appendectomy with an optical trocar on McBurney’s point for acute appendicitis in 1 year in terms of demographics, operative time, complications, hospital stay and cosmetic results.

Twenty-one of the patients underwent hybrid appendectomy with a one-optic trocar on McBurney’s point. The mean operative time was 21.4 ±6.2 min. We did not encounter any postoperative complications in any of the patients. The median hospital stay was 1.2 ±1.0 days. The postoperative scar was minimal.

This technique is defined in the literature for the first time, and it is easy and feasible for the surgeons. It may reduce the operative time and costs when compared to the conventional laparoscopic technique, but prospective studies with more patients are needed for more certain results.


laparoscopic surgery, appendectomy, hybrid, conventional

de Kok HJ. A new technique for resecting the non-inflamed not-adhesive appendix through a mini-laparotomy with the aid of the laparoscope. Arch Chir Neerl 1977; 29: 195-8.
Sauerland S, Lefering R, Holthausen U, Neugebauer EAM. Laparoscopic vs conventional appendectomy: meta-analysis of randomized controlled trials. Langenbeck’s Arch Surg 1998; 383: 289-95.
Sauerland S, Lefering R, Neugebauer EA. Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev 2004; 4: CD001546.
Ng WT, Sze SY, Hui SK. Port placement for laparoscopic appendectomy with the best cosmesis and ergonomics. Surg Endosc 2003; 17: 166-7.
D’Souza FR, Anwar MA, Audisio RA, Memon MA. A simple and inexpensive method for laparoscopic appendectomy. Surg Technol Int 2007; 16: 93-6.
Saad M. Fisherman’s technique, introducing a novel method for using the umbilical port for removal of appendix during laparoscopic appendectomy. Surg Laparosc Endosc Percutan Tech 2007; 17: 422-4.
Singh MK, Kumar MK, Mohan L. Suprapubic approach for laparoscopic appendectomy. J Nat Sci Biol Med 2013; 4: 389-92.
Zhang Z, Wang Y, Liu R, et al. Suprapubic single-incision versus conventional laparoscopic appendectomy. J Surg Res 2016; 200: 131-8.
Soper NJ, Stockmann PT, Dunnegan DL, Ashley SW. Laparoscopic cholecystectomy. The new ‘gold standard’? Arch Surg 1992; 127: 917-21.
Frazzoni M, Piccoli M, Conigliaro R, et al. Laparoscopic fundoplication for gastroesophageal reflux disease. World J Gastroenterol 2014; 20: 14272-9.
Vereczkei A, Molnár A, Horváth OP. Minimally invasive technique as the gold standard of adrenal surgery. Magy Seb 2012; 65: 365-9.
Eypasch E, Sauerland S, Lofering R, Neugebauer EAM. Laparoscopic versus open appendectomy: between evidence and common sense. Dig Surg 2002; 19: 518-22.
Guller U, Hervey S, Purves H, et al. Laparoscopic versus open appendectomy: outcomes comparison based on a large administrative database. Ann Surg 2004; 239: 43-52.
Esposito C. One-trocar appendectomy in pediatric surgery. Surg Endosc 1998; 12: 177-8.
Vidal O, Valentini M, Ginestà C, et al. Laparoendoscopic single-site surgery appendectomy. Surg Endosc 2010; 24: 686-91.
van der Linden YT, Boersma D, van Poll D, et al. Single-port laparoscopic appendectomy in children: single center experience in 50 patients. Acta Chir Belg 2015; 115: 118-22.
Xue C, Lin B, Huang Z, Chen Z. Single-incision laparoscopic appendectomy versus conventional 3-port laparoscopic appendectomy for appendicitis: an updated meta-analysis of randomized controlled trials. Surg Today 2015; 45: 1179-86.
Donmez T, Sunamak O, Ferahman S, et al. Two-port laparoscopic appendectomy with the help of a needle grasper: better cosmetic results and fewer trocars than conventional laparoscopic appendectomy. Videosurgery Miniinv 2016; 11: 105-10.
Jategaonkar PA, Yadav SP. Single site multiport umbilical laparoscopic appendicectomy versus conventional multiport laparoscopic appendicectomy in acute settings. Ann R Coll Surg Engl 2014; 96: 452-7.
Smigielski JA, Piskorz L, Koptas W. Comparison of treatment costs of laparoscopic and open surgery. Videosurgery Miniinv 2015; 10: 437-41.
Quick links
© 2019 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe