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[Celioscopic appendectomy. Results in 137 consecutive patients]
J L Bouillot1, D Mariette, S Baccot
1Service de Chirurgie Générale et Digestive, Hôpital Broussais, Paris.
Annales De Chirurgie
|January 1, 1993
Summary
Laparoscopic appendicectomy is a safe and effective surgical technique for appendicitis, demonstrating low complication rates and enabling shorter hospital stays for patients. This minimally invasive approach offers significant benefits over traditional open surgery.
Area of Science:
- Minimally Invasive Surgery
- Gastrointestinal Surgery
- Surgical Techniques
Context:
- Laparoscopic appendicectomy was evaluated in 137 patients between 1990 and 1992.
- The study involved 98 females and 39 males with a mean age of 31 years.
- The procedure was performed by 9 surgeons with varying experience levels.
Purpose:
- To assess the feasibility and safety of laparoscopic appendicectomy.
- To identify factors influencing the success rate of the laparoscopic approach.
- To evaluate the morbidity and postoperative outcomes associated with laparoscopic appendicectomy.
Summary:
- Laparoscopic appendicectomy was successfully completed in 87.6% of 137 patients.
- Conversion to open surgery was necessary in 19 cases, primarily due to retrocaecal appendix or appendiceal artery injury.
- Mean operating time was shorter for experienced surgeons (49 minutes) compared to others (69 minutes).
- Histological examination confirmed inflammation in 71% of appendices.
- No wound infections were reported after successful laparoscopic procedures; one patient developed an abscess.
- The median postoperative hospital stay was 3 days.
Impact:
- Laparoscopic appendicectomy is a safe surgical option with low morbidity.
- The technique facilitates a reduced postoperative hospital stay.
- Findings support the adoption of laparoscopic appendicectomy as a standard procedure.