ArticleFrontiers in surgery2025
Learning curve of single-port laparoscopic appendectomy in a low-volume hospital.
Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Single-port laparoscopic appendectomy (SPLA) has gained popularity, particularly among young patients, due to its cosmetic advantages. However, its adoption by surgeons in resource-constrained environments remains limited. This study assessed the learning curve of SPLA performed at a low-volume hospital (LVH). Methods: This retrospective study included patients who underwent appendectomy between May 2022 and December 2024 at a military hospital. A single surgeon newly initiated SPLA, while other surgeons performed conventional laparoscopic appendectomy (CLA). Clinical outcomes of SPLA were compared to CLA. The learning curve of SPLA was assessed using the moving average method and cumulative sum (CUSUM) analysis of the operation time. Results: Among 302 patients in the study, 125 underwent SPLA and 177 underwent CLA. The mean (range) age was 22.3 (18-49), similar in both groups. The mean (range) body mass index was 23.9 kg/m Conclusion: The learning curve for the SPLA in a low-volume hospital consisted of three phases. The competent phase was achieved after the 13th case, and the mastery after the 36th. With sufficient prior laparoscopic experience, surgeons may safely adopt SPLA in low-volume settings, particularly when initiated in young, healthy, and non-obese patients.
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