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Published on: June 16, 2023
Hybrid appendectomy with classic trocar on McBurney's point
Mehmet Emin Gunes1, Feyzullah Ersoz2, Yigit Duzkoylu3
1General Surgery Department, Bakirkoy Sadi Konuk Education and Research Hospital, Istanbul, Turkey.
Summary
This study introduces a novel hybrid appendectomy technique for acute appendicitis, demonstrating a faster procedure with minimal complications and cosmetic scarring. This approach offers a promising alternative to conventional methods.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Appendectomy remains the most common intra-abdominal operation globally.
- Laparoscopic appendectomy has not achieved widespread standardization compared to other laparoscopic procedures.
- A definitive standard laparoscopic approach for appendectomy is still lacking.
Purpose of the Study:
- To introduce and evaluate a hybrid appendectomy technique for acute appendicitis performed at McBurney's point.
- To achieve a simpler and faster surgical procedure.
- To minimize abdominal wall trauma by combining laparoscopic and open surgery benefits.
Main Methods:
- Retrospective evaluation of 24 patients who underwent hybrid appendectomy using an optical trocar at McBurney's point.
- Data collected included demographics, operative time, complications, hospital stay, and cosmetic outcomes.
- The study focused on acute appendicitis cases over a one-year period.
Main Results:
- Twenty-one patients successfully underwent the hybrid appendectomy with a single optical trocar.
- The average operative time was 21.4 ±6.2 minutes.
- No postoperative complications were observed, with a median hospital stay of 1.2 ±1.0 days and minimal scarring.
Conclusions:
- The hybrid appendectomy technique, described here for the first time, is presented as easy and feasible for surgeons.
- This method may potentially reduce operative time and costs compared to standard laparoscopic appendectomy.
- Further prospective studies with larger patient cohorts are recommended for more definitive conclusions.
