International Surgery Journal | June 2019 | Vol 6 | Issue 6 Page 2088 International Surgery Journal Sonarkar R et al. Int Surg J. 2019 Jun;6(6):2088-2092 http://www.ijsurgery.com pISSN 2349-3305 | eISSN 2349-2902 Original Research Article Comparative study on surgical outcomes of needle port assisted two port laparoscopic appendicectomy verses conventional three-port laparoscopic appendicectomy Rajiv Sonarkar 1 , Ashutosh Ghuge 2 *, Murtaza Akhtar 3 INTRODUCTION Appendicectomy is one of the most commonly performed surgical procedure of the abdomen in the world. This surgical procedure has been performed for over 100 years. McBurney‟s procedure represented the gold- standard for acute appendicitis until 1981, when a German Gynaecologist Kurt Semm performed the first laparoscopic appendicectomy in 1983. 1,2 Recent EAES (European Association of Endoscopic Surgery) ABSTRACT Background: Conventional three port laparoscopic appendicectomy is fast becoming a procedure of choice for appendicitis. Needle port assisted two port laparoscopic appendicectomy is the procedure with similar technique as conventional procedure but has its distinctive advantages. The present study aims to compare the results of needle port assisted two port and conventional three port laparoscopic appendicectomy. Methods: In comparative non-randomized study patients with acute appendicitis, recurrent appendicitis and patients posted for interval appendicectomy of age >18 years, both gender without co-morbidity were enrolled as subjects. Non-consenting patients were excluded. The study factor was needle port assisted two port and conventional three port laparoscopic appendicectomy procedure. The allocation to each procedure was done at random. The outcome factors were compared between both groups. Results: A total of 91 patients with a mean age of 29.77 years and F:M ratio of 1.67:1 were enrolled, of them 31 underwent needle port assisted two port laparoscopic appendicectomy. The mean operative time for two port was 53.38±7.97 min as compared to conventional three port was 44.65±5.86 min which was statistically significant but cosmetic outcome was better as well as statistically significant with two port procedure. The post-operative pain, intra-operative and post-operative complications were compared between these groups but were statistically not significant. Conclusions: Needle port assisted two port laparoscopic appendicectomy appears to give better cosmetic results and can be a good surgical alternative modality for uncomplicated appendicitis. Keywords: Conventional three-port laparoscopic appendicectomy, Needle port assisted two-port laparoscopic appendicectomy 1 Associate Professor, Department of Surgery, NKP Salve Institute of Medical Science and Research Center, Nagpur, Maharashtra, India 2 Junior Resident, NKP Salve Institute of Medical Science and Research Center, Nagpur, Maharashtra, India 3 Head, Department of Surgery, NKP Salve Institute of Medical Science and Research Center, Nagpur, Maharashtra, India Received: 09 March 2019 Revised: 13 May 2019 Accepted: 15 May 2019 *Correspondence: Dr. Ashutosh Ghuge, E-mail: ashm0781@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: http://dx.doi.org/10.18203/2349-2902.isj20192372