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Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
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[Laparoscopic appendectomy. Our experience].

Angela Pezzolla1, Marialessia Milella, Serafina Lattarulo

  • 1Università Degli Studi di Bari, Dipartimento dell'Emergenza e dei Trapianti di Organi, Bari.

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|May 19, 2012
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Summary
This summary is machine-generated.

Videolaparoscopic appendectomy offers advantages over open surgery for acute and complicated appendicitis, particularly in young women. This technique aids in diagnosing concurrent pelvic conditions, improving recovery and outcomes.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Gastroenterology
  • Emergency Medicine

Context:

  • Acute and complicated appendicitis management remains a clinical challenge.
  • The comparative efficacy of videolaparoscopic (VL) versus open surgery is not well-established.
  • 150 patients underwent emergency surgery for suspected appendicitis.

Purpose:

  • To evaluate the advantages and applications of videolaparoscopic technique (VL) versus open surgery in treating acute and complicated appendicitis.
  • To assess outcomes including morbidity, operative time, and hospital stay.

Summary:

  • 137 patients had confirmed appendicitis, with 35 (25%) presenting with complicated appendicitis and peritonitis.
  • 134 patients underwent successful laparoscopic appendectomy with a 2% conversion rate.
  • Morbidity was 3% (intra-abdominal abscesses), with no reported deaths. Mean operative time was 76 minutes and mean hospital stay was 4.8 days.

Impact:

  • Laparoscopic appendectomy demonstrates significant advantages over open surgery for acute and complicated appendicitis.
  • The technique is particularly beneficial for young women, aiding in the diagnosis of co-existing gynecological conditions.
  • VL offers improved convalescence, reduced postoperative pain, shorter hospital stays, better aesthetic outcomes, and enhanced peritoneal cavity exploration.