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[LAPAROSCOPIC APPENDECTOMY: EXPERIENCE IN THIRTY CASES]

Alejandro Langberg, Juan Carlos Montoya, Manuel Cevallos

    Revista De Gastroenterologia Del Peru : Organo Oficial De La Sociedad De Gastroenterologia Del Peru
    |August 15, 2002
    PubMed
    Summary

    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.

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    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.

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  • 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.