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[Appendectomy by minimally invasive surgery].
Oscar Villazón Davico1, Adriana Espinosa Jaramillo, Oscar Cárdenas Castañeda
1Cirujanos Servicio de Cirugía, Hospital Angeles de las Lomas, Huixquilucan, Edo. de México.
Revista De Gastroenterologia De Mexico
|March 11, 2005
Summary
Laparoscopic appendectomy is a safe and effective procedure for acute appendicitis, offering reduced recovery time and pain compared to open surgery. This minimally invasive technique demonstrates low complication rates and zero mortality in experienced hands.
Area of Science:
- Minimally Invasive Surgery
- Gastrointestinal Surgery
- Surgical Outcomes Analysis
Background:
- Laparoscopic appendectomy has demonstrated safety and efficacy over the past decade for treating appendicitis.
- This study evaluates a cohort of 106 laparoscopic appendectomies performed between 1997 and 2002.
Purpose of the Study:
- To analyze the outcomes of laparoscopic appendectomy in 106 patients.
- To compare these results with existing literature to assess safety and efficacy.
- To establish the advantages of laparoscopic appendectomy over open appendectomy.
Main Methods:
- Prospective trial involving 106 patients diagnosed with or suspected of acute appendicitis.
- Laparoscopic appendectomy was the primary surgical approach.
- Statistical analysis of collected patient data was performed.
Main Results:
- The study included 106 patients (42 male, 62 female) with an average age of 30.8.
- Pre-operative diagnosis of acute appendicitis was confirmed in 83% of cases.
- Average surgical time was 70.7 minutes, with an average hospital stay of 74 hours. Conversion rate to open surgery was 5.5%.
- Morbidity included wound infection (3.7%), abscess (3), peritonitis (1), hemorrhage (1), and appendix rupture (1). No mortality was recorded.
Conclusions:
- Laparoscopic appendectomy indications are consistent with open surgery.
- The technique is safe and effective for all patients, including those with perforated or gangrenous appendicitis.
- Laparoscopic appendectomy offers benefits such as reduced wound infection, faster recovery, and less postoperative pain, contingent on surgical team experience.