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[Appendectomies by celioscopy. Results in 78 patients].
1Service de Chirurgie Digestive, Hôpital International, Université de Paris.
Annales De Chirurgie
|January 1, 1992
Summary
Laparoscopic appendicectomy is a feasible surgical option for acute appendicitis, offering a comfortable postoperative recovery. This minimally invasive technique is particularly effective for complicated cases and provides valuable training for surgeons.
Area of Science:
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Context:
- Acute appendicitis management has evolved with surgical advancements.
- Laparoscopic surgery is increasingly adopted for various abdominal conditions.
Purpose:
- To evaluate the feasibility and outcomes of laparoscopic appendicectomy over a three-year period.
- To assess the safety and patient comfort associated with the laparoscopic approach.
Summary:
- Seventy-eight patients with suspected acute appendicitis underwent laparoscopic procedures.
- Laparoscopic appendicectomy was successful in 71 cases, including those with abscess or peritonitis.
- Conversion to laparotomy occurred in 7 cases, primarily due to dissection difficulties. Zero mortality and four minor complications were reported.
Impact:
- Laparoscopic appendicectomy demonstrates high feasibility, especially in complex cases like ectopic appendix or significant inflammation.
- The technique offers a comfortable postoperative experience for patients.
- Increasing surgeon experience enhances the feasibility and safety of laparoscopic appendicectomy, serving as beneficial training for other laparoscopic procedures.