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Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
Published on: December 4, 2023
Laparoscopic appendectomies: experience of a surgical unit.
Angela Gurrado1, Giuseppe Faillace, Luca Bottero
1Department of Applications in Surgery of Innovative Technologies, University Medical School of Bari, Italy. angelagurrado@libero.it
Summary
Laparoscopic appendectomy is effective for both simple and complicated appendicitis, even in emergency settings. This minimally invasive approach offers a low morbidity rate and short hospital stays.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Minimally Invasive Surgery
Background:
- Appendicitis is a leading cause of acute abdomen, with appendectomy being a common emergency procedure.
- Laparoscopic appendectomy is increasingly popular, but its optimal use remains debated.
Purpose of the Study:
- To examine current indications for laparoscopic appendectomy.
- To evaluate the efficacy and safety of laparoscopic appendectomy in a large patient cohort.
Main Methods:
- Retrospective review of 1024 patients who underwent laparoscopic appendectomy between February 1992 and December 2007.
- Analysis of emergency versus elective procedures, conversion rates, operative times, and postoperative outcomes.
Main Results:
- 60.1% of patients had elective laparoscopic appendectomy after failed conservative management.
- Conversion to open surgery was low (1.3%).
- Mean operative time was 38 minutes, with an average postoperative hospitalization of 2.5 days and a low overall morbidity rate (2.6%).
Conclusions:
- Laparoscopic appendectomy is a suitable treatment for uncomplicated appendicitis.
- Experienced surgeons can effectively manage even complicated appendicitis using laparoscopy.
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