More Aesthetic, Multi-Port Laparoscopic Appendectomy Using Conventional Instruments with Invisible Scar: A Case-Match Study

Introduction: Laparoscopic appendectomy (LA) has become one of the most frequently performed abdominal surgeries worldwide, surpassing the traditional open technique. Over time, the increasing experience of surgeons in minimally invasive surgery and, notably because patients’ aesthetic and cosmetological concerns have allowed surgeons to modify these techniques. In our study, we aimed to introduce the invisible scar laparoscopic appendectomy (ISLA) modified technique and present early postoperative outcomes. Methods: Our study included 66 patients who underwent LA between August 2022 and April 2024. Half of these patients were in the ISLA group, and the other half were in the control group. The sequence of priority for matching the prognostic variables was age, sex, laparoscopic appendicitis grade, and body mass index. We retrospectively examined and compared the demographic data, discharge times, 30-day postoperative readmission rates, and operative data of these patients between the groups. Results: There was no significant difference in postoperative 30-day complications, length of hospital stays, and drain usage between the two groups (p=0.708, p=0.841, and p=0.708, respectively). The duration of the operation was slightly longer in the ISLA group (p=0.006). Conclusion: ISLA can be performed safely by experienced surgeons with appropriate case selection.