{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T05:49:48Z","timestamp":1790401788301,"version":"4.1.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,6,17]],"date-time":"2020-06-17T00:00:00Z","timestamp":1592352000000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Current guidelines indicate that laparoscopic appendectomies are safe for pregnant patients with acute appendicitis. Recently, single- and reduced-port laparoscopic surgeries have gained popularity for nonpregnant patients, because they minimize abdominal wall trauma. Here, we describe a reduced-port laparoscopic appendectomy (RPLA) in a 31-year-old pregnant female performed at 27\u00a0weeks gestational age. Preoperative abdominal ultrasonography and computed tomography imaging showed an inflamed, swollen appendix and blood test results showed elevations in the white blood cell count and the C-reactive protein level. Accordingly, acute appendicitis was diagnosed. A surgical incision was performed at the umbilicus with an EZ-access device; an additional 5-mm trocar was placed at the right lower quadrant. Recovery was uneventful. The patient was discharged 8\u00a0days postoperatively. A vaginal delivery was achieved at term. The RPLA was a good surgical option for minimizing surgical invasiveness, without increasing the technical difficulty, in conditions where the uterus and fetus are growing.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa097","type":"journal-article","created":{"date-parts":[[2020,3,30]],"date-time":"2020-03-30T11:06:42Z","timestamp":1585566402000},"source":"Crossref","is-referenced-by-count":3,"title":["Reduced-port laparoscopic appendectomy for acute appendicitis in pregnancy"],"prefix":"10.1093","volume":"2020","author":[{"given":"Tsuyoshi","family":"Hata","sequence":"first","affiliation":[{"name":"Department of Surgery, Kinan Hospital, Tanabe, Wakayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyasu","family":"Hayashi","sequence":"first","affiliation":[{"name":"Department of Surgery, Kinan Hospital, Tanabe, Wakayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoichiro","family":"Urabe","sequence":"first","affiliation":[{"name":"Department of Surgery, Kinan Hospital, Tanabe, Wakayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Hayashi","sequence":"first","affiliation":[{"name":"Department of Surgery, Kinan Hospital, Tanabe, Wakayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomo","family":"Nakagawa","sequence":"first","affiliation":[{"name":"Department of Surgery, Kinan Hospital, Tanabe, Wakayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiya","family":"Michiura","sequence":"first","affiliation":[{"name":"Department of Surgery, Kinan Hospital, Tanabe, Wakayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuo","family":"Yamabe","sequence":"first","affiliation":[{"name":"Department of Surgery, Kinan Hospital, Tanabe, Wakayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,6,15]]},"reference":[{"key":"2020061617232804300_ref1","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1007\/s00464-014-3735-z","article-title":"Single-incision versus three-port laparoscopic appendectomy for acute appendicitis: systematic review and meta-analysis of randomized controlled trials","volume":"29","author":"Xu","year":"2015","journal-title":"Surg Endosc"},{"key":"2020061617232804300_ref2","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1111\/ases.12467","article-title":"Conventional laparoscopic appendectomy versus double-incision, three-port laparoscopic appendectomy: a 1-year randomized controlled trial","volume":"11","author":"Pattanshetti","year":"2018","journal-title":"Asian J Endosc Surg"},{"key":"2020061617232804300_ref3","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1097\/SLA.0b013e31823003b5","article-title":"Single incision versus standard 3-port laparoscopic appendectomy: a prospective randomized trial","volume":"254","author":"St Peter","year":"2011","journal-title":"Ann Surg"},{"key":"2020061617232804300_ref4","doi-asserted-by":"crossref","first-page":"8","DOI":"10.5412\/wjsp.v3.i2.8","article-title":"Reduced port surgery for appendectomy: early experience and surgical technique","volume":"3","author":"Mori","year":"2013","journal-title":"World J Surg Proced"},{"key":"2020061617232804300_ref5","doi-asserted-by":"crossref","first-page":"3767","DOI":"10.1007\/s00464-017-5637-3","article-title":"SAGES guidelines for the use of laparoscopy during pregnancy","volume":"31","author":"Pearl","year":"2017","journal-title":"Surg Endosc"},{"key":"2020061617232804300_ref6","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1007\/s00268-008-9890-4","article-title":"Safety of laparoscopic appendectomy during pregnancy","volume":"33","author":"Kirshtein","year":"2009","journal-title":"World J Surg"},{"key":"2020061617232804300_ref7","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1097\/AOG.0b013e318234d7bc","article-title":"Morbidity of appendectomy and cholecystectomy in pregnant and nonpregnant women","volume":"118","author":"Silvestri","year":"2011","journal-title":"Obstet Gynecol"},{"key":"2020061617232804300_ref8","first-page":"40","article-title":"Appendicitis during pregnancy","volume":"50","author":"Babaknia","year":"1977","journal-title":"Obstet Gynecol"},{"key":"2020061617232804300_ref9","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1016\/j.jamcollsurg.2007.05.025","article-title":"Negative appendectomy in pregnant women is associated with a substantial risk of fetal loss","volume":"205","author":"McGory","year":"2007","journal-title":"J Am Coll Surg"},{"key":"2020061617232804300_ref10","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1097\/SLA.0000000000002836","article-title":"Single-incision laparoscopy versus multiport laparoscopy for colonic surgery: a multicenter, double-blinded, randomized controlled trial","volume":"268","author":"Maggiori","year":"2018","journal-title":"Ann Surg"}],"container-title":["Journal of Surgical Case 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