1. Laparoscopic Appendicectomy
Port Positions and Importance of
Ergonomics
Dr.S.Easwaramoorthy
MS FRCS(Eng) FRCS (Glas) FRCS (Edin)
Head of Dept of Minimal Access Surgery
Examiner, RCS of Edinburgh
Executive Member, South Zone IAGES
IAGES Endoscopy Course Convener
2. Port placement for laparoscopic appendectomy with the best cosmesis
Surg Endosc. 2003 Jan;17(1):166-7
3. Port Positions
• Preference of surgeon
• Ergonomical reasons
– Age & build of the patient
– Site of pathology
• Clinical & imaging criteria
• Variable position of appendix
10. Bikini Line Ports
• Lt supra pubic port: Optical port
• Umbilical port: Rt hand dissection port
• Rt supra pubic port: Lt hand retraction port
S
CN
17. SILS Appendicectomy
Acute appendicitis can be treated with single-incision laparoscopy:
A systematic review of randomized controlled trials. Colorectal Dis. 2015 Apr;17(4):281-9
Meta-analysis of randomized trials on single-incision laparoscopic versus conventional
laparoscopic appendectomy. Am J Surg. 2014 Apr;207(4):613-22.
21. IAGES Endoscopy Fellowship
• 4 days of Didactic lectures, Hands on endoscopy
and Simulator training and assessment
• November 3rd
to 6th
2016 ( 4 days)
• @ GI Unit, Lotus hospital, Erode, TN
• Maximum of 50 candidates
• For IAGES members only
• Fee: 25000/-
• See brochure/IAGES website
• Contact : 09843328928 for details.
Editor's Notes
Easy to be diagnosed by a dermatologist and operated by a dentist or could be a challenging task for even an expert lap surgeon.