ZenToks Publication

Chapter 14

Single Incision Laparoscopic Appendectomy for Acute Uncomplicated Appendicitis: Review

Abstract/Preface

Acute appendicitis remains one of the most common surgical emergencies worldwide, with laparoscopic appendectomy serving as the standard of care in most centers. Over the past two decades, advancements in minimally invasive surgery have led to the introduction of single-incision laparoscopic surgery (SILS), including single-incision laparoscopic appendectomy (SILA). This technique aims to reduce postoperative pain further, minimize scarring, and enhance recovery compared to conventional multi-port laparoscopic appendectomy (CLA). However, the clinical benefits and limitations of SILA in managing acute uncomplicated appendicitis remain debated due to concerns regarding technical complexity, operative time, and potential complications. This chapter systematically examines the current evidence regarding SILA, focusing on operative outcomes, safety, feasibility, cosmetic benefits, and cost-effectiveness in adults and children. Despite its advantages, the widespread adoption of SILA is limited by its steep learning curve and lack of clear clinical superiority. SILA remains an evolving technique that holds promise but requires careful patient selection and surgeon expertise to optimize outcomes.