A Comparative Study between Single Loop Ligature and Conventional Two Loop Ligature among Surgical Team

Abstract

Background:Single Loop Ligatureis one of the most commonly performed single port surgeries in the world. Objectives: To investigate clinical outcomes of Single Loop Ligature performed by us and to evaluate its feasibility and safety compared with Conventional Two Loop Ligature when performed by Surgical TeamMethods: Between September 2018 and August 2019, clinical data were retrospectively collected for Single Loop Ligature and Conventional Two Loop Ligature cases performed at the tertiary care hospital. Three surgical residents who have assisted at least 50 cases of Conventional Two Loop Ligature and 30 cases of Single Loop Ligature performed by gastrointestinal surgery specialists performed the surgeries. The indication of Single-incision laparoscopic appendectomy (SILA) by us was non- complicated appendicitis with no comorbidity.Results: In total, 50 patients underwent Single Loop Ligature by surgical residents, 100 patients underwent Conventional Two Loop Ligature by surgical residents and 140 patients underwent Single Loop Ligature by surgical staff. In comparing Single Loop Ligature and Conventional Two Loop Ligature performed by surgical residents, the mean age was the youngest in the Single Loop Ligature group; the operative time and hospital stay were shorter in Single Loop Ligature group. When comparing Single Loop Ligature performed by surgical residents and SILA performed by surgical staff, there were no significant differences in operation time, and postoperative complications.
Conclusion: Surgical residents safely performed Single Loop Ligature with good postoperative outcomes after a short learning curve.