Related Experiment Videos
[LAPAROSCOPIC APPENDECTOMY: EXPERIENCE IN THIRTY CASES]
Abstract:
Between September 1994 and February 1997, 30 patients with clinical diagnosis of acute appendicitis were subject of laparoscopic appendectomy (LA) at the "Stella Maris" Clinic in Lima - Peru. Only one conversion to an open procedure was practiced to a 69 years old woman with an appendiculate plastron. Out of the other 29 LA cases, 17 were women (58.6%) and 12 were men (41.4%) with an average age of 23 years, average surgery time of 94 minutes, average time of restablishment of food in-take 15 hr. and average post-operation time of hospitalization 27,1 hr. The anatomo-pathologic diagnosis revealed 11 cases of acute appendicitis, 1 case of suppurative acute appendicitis, 6 cases of acute appendicitis + peritonitis, 1 case of chronic periappendicitis, 6 cases of vascular congestion and/or follicular hyperplasia. There were also reported 3 cases of vascular congestion and/or follicular hyperplasia associated to gynecological pathologies that were solved laparoscopycally. A minor wound infection was registered as a post-operative complication. Thus, it is concluded that the LA is a save method of low morbidity, applicable to children, very advantageous in women in fertile age, in obese or fat patients, in the cases of diagnostic doubt and in patients with complicated appendicitis.
Insights
Laparoscopic appendectomy (LA) is a safe and effective procedure for acute appendicitis, demonstrating low morbidity. This minimally invasive technique offers significant advantages for various patient groups, including women of reproductive age and those with diagnostic uncertainty.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Acute appendicitis remains a common surgical emergency.
- Laparoscopic appendectomy (LA) has emerged as an alternative to open surgery.
- Evaluating the safety and efficacy of LA in a clinical setting is crucial.
Purpose of the Study:
- To assess the outcomes of laparoscopic appendectomy (LA) for acute appendicitis.
- To determine the safety, efficacy, and patient benefits of LA.
- To identify patient populations that benefit most from LA.
Main Methods:
- A retrospective study of 30 patients undergoing LA for acute appendicitis between September 1994 and February 1997.
- Data collection included patient demographics, operative details, postoperative recovery, and histopathological findings.
- Analysis of complications and conversion rates to open surgery.
Main Results:
- Only one conversion to open surgery was required (3.3%).
- Average operative time was 94 minutes, with food intake re-established at 15 hours post-operation.
- Average hospitalization was 27.1 hours, with one minor wound infection reported.
- Histopathology confirmed appendicitis in 19 cases, with other findings including peritonitis and hyperplasia.
Conclusions:
- Laparoscopic appendectomy (LA) is a safe procedure with low morbidity for acute appendicitis.
- LA is advantageous in women of fertile age, obese patients, and cases with diagnostic uncertainty.
- The technique is also beneficial for complicated appendicitis and can be applied to pediatric patients.