Table 4 Advantages and disadvantages of two- vs. three-trocar laparoscopic appendectomy
Two-trocar LA | Three-trocar LA | |
|---|---|---|
Advantages | • Less trauma • Only two scars on the abdomen • Shorter surgery time • Cheaper • Shorter learning curve | • More instruments in the abdomen • Diathermy • Can be used with adhesions or retrocecal appendix • More often applicable |
Disadvantages | • Only one instrument • Cannot use diathermy • Limited mobility in the abdominal cavity and less able to explore the intestinal package • Cannot get traction to resolve adhesions • Not always applicable | • Longer surgery time • More scars • More trauma |