Appendectomy conducted with Single Port Incisionless-Intracorporeal Conventional Equipment-Endoscopic Surgery ☆ Feza M. Akgür ⁎ , Mustafa Olguner, Gülce Hakgüder, Oğuz Ateş Department of Pediatric Surgery, Dokuz Eylül University, Medical School, I · zmir, Turkey Received 23 October 2009; revised 21 January 2010; accepted 22 January 2010 Key words: Laparoscopic appendectomy; Single port; Single conventional port; Single-port access Abstract In “single conventional port” intracorporeal laparoscopic appendectomy, the appendix is suspended with a transabdominal SLING suture, which replaces the second working instrument (grasper). Thus, the second port is not required. We had modified the SLING suture to SWING suture and renamed our technique as Single Port Incisionless-Intracorporeal Conventional Equipment- Endoscopic Surgery. We herein present our experience with appendectomy conducted by the Single Port Incisionless-Intracorporeal Conventional Equipment-Endoscopic Surgery using the homemade grasper: the SWING suture. © 2010 Elsevier Inc. All rights reserved. We have been performing single-port appendectomy through a single conventional port using intracorporeal endoscopic surgery techniques since April 2005 [1-4].A 10-mm 0-degree scope with a parallel eyepiece and an integrated 6-mm working channel is used for this purpose [1-4]. The appendix is hung with the aid of a transabdominal sling suture that replaces the second working instrument (grasper); thus, a second port is obviated [1-4]. Endoscopic surgery conducted through nonconventional 3 lumenal ports of 30-mm size such as R-port, Triport, and others has been referred to as Single Incision Laparoscopic Surgery (SILS), which requires a 3-cm incision that is beyond the umbilical margins for port placement. In addition, nonconventional roticulating (so-called articulated) working instruments are necessary for SILS [5]. Our appendectomy technique uses an 11-mm conventional port that does not require an incision beyond the umbilical margins and only conventional working instruments are used [1-4]. Therefore, we renamed our technique as Single Port Incisionless-Intracorporeal Conventional Equipment- Endoscopic Surgery (SPICES). In addition, we have developed a homemade grasper for appendectomy conducted with the SPICES method: a polypropylene suture introduced through an angiocath. This homemade grasper facilitates transabdominal sling suture placementl, and because of its swinging capability, we named it the SWING suture [4]. We present our experience with appendectomy conducted with the SPICES method using the homemade grasper: the SWING suture. ☆ Appendectomy conducted with SPICES. ⁎ Corresponding author. Dokuz Eylül Universitesi, Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, Balçova 35340 İzmir, Turkey. Tel.: +90 232 412 3001. E-mail address: feza.akgur@deu.edu.tr (F.M. Akgür). www.elsevier.com/locate/jpedsurg 0022-3468/$ – see front matter © 2010 Elsevier Inc. All rights reserved. doi:10.1016/j.jpedsurg.2010.01.025 Journal of Pediatric Surgery (2010) 45, 1061–1063