Published online Aug 21, 2013. doi: 10.3748/wjg.v19.i31.5165
Revised: July 4, 2013
Accepted: July 9, 2013
Published online: August 21, 2013
Core tip: The clinical benefit of single-incision laparoscopic appendectomy (SILA), compared to the conventional three-port laparoscopic appendectomy, has been a controversial issue in recent years. We performed the first systematic review and meta-analysis of randomized controlled trails (RCTs) that have assessed the clinical benefits and disadvantages between SILA and conventional laparoscopic appendectomy (CLA). Six RCTs conducted between 2011 and 2013 were identified and pooled to determine outcomes using meta-analytic methods. From this analysis, we conclude that SILA is as safe as CLA. Although patients receiving SILA had longer operative times and a higher conversion rate, one benefit of SILA is cosmetic satisfaction.