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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
[Laparoscopic appendectomy in children: results of the all-Russian survey]
V P Gavrilyuk1, I V Poddubny2,3, D A Severinov1
1Kursk State Medical University, Kursk, Russia.
Objective:
To study opinions of pediatric surgeons on technical aspects of laparoscopic appendectomy in children.
Material And Methods:
An anonymous survey of surgeons was used as the main research method (Google Forms platform). Invitations were sent to specialized institutions (emergency pediatric surgery departments).
Results:
The study involved 110 pediatric surgeons. Of these, 69% of respondents noted an unspoken rule about the need for only laparoscopic appendectomy. Laparoscopic appendectomies are more common in federal centers compared to regional ones. About 94% of respondents use three-port laparoscopic appendectomy. About 50% of respondents prefer bipolar cauterization for treating the mesentery of the vermiform appendix. Raeder loop is used for vermiform appendix base closure by 97% of respondents.
Conclusion:
This survey revealed significant differences in the choice of surgical approach, treating the mesentery and the base of the appendix, material, equipment and other key tactical aspects among specialists. This requires further study of standardization of this intervention.
