Abstract

PAGAN POMAR, Alberto; GARCIA SANZ, Mario  and  SORO GOSALVEZ, José Antonio. Laparoscopic appendectomy: Our original approach. rev. colomb. cir. [online]. 2004, vol.19, n.2, pp.109-115. ISSN 2011-7582.

Purpose: to report our experience with laparoscopic appendectomy and to determine the limitations of the technique in relation to the type of approach. Patients and method: in the period January 1999 to September 2002 we analyzed a series of 100 patients that underwent laparoscopic appendectomy, 98 patients, and open appendectomy, two patients. Diagnosis was supported by abdominal echography in order to rule out complicated appendicitis. Operative technique: we utilized a Hasson umbilical trocar and two portals, a 5 mm suprapubic for the extraction of the appendix, and a 10 mm over the left iliac fossa that was substituted for a 5 mm one, having a 5 mm optic. Extraction of the appendix was routinely a complished utilizing a bag through the umbilical portal. Results: average operating time was 55 minutes. Complications included and operative site infection and one wound hernia. The rate of negative explorations was 8%. Conclusion: laparoscopic appendectomy represents a valid treatment modality for uncomplicated appendicitis in our environment. It can be easily performed independently of the variable disposition of the portals.

Keywords : laparoscopic surgery; acute abdomen; acute appendicitis; laparoscopic appendectomy.

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