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Cirujano General

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2002, Number 1

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Cir Gen 2002; 24 (1)

Laparoscopy-assisted appendectomy. Preliminary report

Cervantes MF, Castorena RG, Melgoza MD, Lasky MD, Flórez ZCW
Full text How to cite this article

Language: Spanish
References: 8
Page: 44-46
PDF size: 88.18 Kb.


Key words:

Appendectomy, assisted, laparoscopy.

ABSTRACT

Objective: To analyze our experience with laparoscopy-assisted appendectomy and suggest its use as a surgical procedure, combining traditional and laparoscopic techniques.
Design: Retrospective, observational study.
Setting: Third level health care hospital.
Patients and methods: We performed 19 laparoscopy-assisted appendectomies between December 1998 and December 2000. Only uncomplicated cases were included. Surgical time, hospital stay, and return to activities were analyzed.
Results: Patients were 11 women and 8 men, average age was 26 years. The mean surgical time was 22 minutes, mean hospital stay of 18 hours, and return to activities occurred in 48 hours. Post-operative pain was bearable and could be managed with conventional oral analgesics.
Conclusions: Laparoscopy-assisted appendectomy is an easy technique that allows direct visualization and safe management of the apendicular artery and base, as well as inspection of the abdominal cavity.


REFERENCES

  1. Esposito C. One-trocar appendectomy in pediatric surgery. Surg Endosc 1998; 12: 177-8

  2. Inoue H, Takeshita K, Endo M. Single-port laparoscopy assisted appendectomy under local pneumoperitoneum condition. Surg Endosc 1994; 8: 714-6

  3. Jain A, Mercado PD, Grafton KP, Dorazio RA. Outpatient laparoscopic appendectomy. Surg Endosc 1995; 9: 424-5.

  4. Antal A, Ezer P, Hideg G. Laparoscopic appendectomy (LA) with a new technique. Acta Chir Hung 1995-96; 35: 225-8.

  5. Kala Z, Hanke I, Neumann C. A Modified technic in laparoscopy assisted appendectomy a transumbilical approach through a single port. Rozhl Chir 1996; 75: 15-8.

  6. Straslipka J. Laparoscopic appendectomy using the out transumbilical method. Personal experience. Rozhl Chir 1997; 76: 85-6.

  7. De Kok HJ. A new technique for resecting the non-inflamed not adhesive appendix through a mini-laparotomy with the aid of the laparoscope. Arch Chir Neerl 1997; 29: 195-8.

  8. Suh HH. A minimally invasive technique of appendectomy using a minimal skin incision and laparoscopic instruments. Surg Laparosc Endosc 1998; 8: 149-52.




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Cir Gen. 2002;24