Impact of previous abdominal surgery on laparoscopic appendectomy for acute appendicitis

Wu, Jiann‐Ming; Lin, Heng-Fu; Chen, Kuo-Hsin; Tseng, Li-Ming; Tsai, Ming-Shian; Huang, Shih-Horng

doi:10.1007/s00464-006-9027-5

Cited by 26 publications

(21 citation statements)

References 12 publications

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“…Dealing with densely or vascular-rich adhesions, particularly those around the hepatic hilum or major [16][17][18]. In our study, similar results were obtained in laparoscopic when compared with open liver re-resection.…”

Section: Discussionsupporting

confidence: 93%

Laparoscopic liver re-resection is feasible for patients with posthepatectomy hepatocellular carcinoma recurrence: a propensity score matching study

Liu

Chen

et al. 2017

Surg Endosc

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Section: Discussionsupporting

confidence: 93%

Laparoscopic liver re-resection is feasible for patients with posthepatectomy hepatocellular carcinoma recurrence: a propensity score matching study

Liu

Chen

et al. 2017

Surg Endosc

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“…However, JM Wu et al, concluded that previous abdominal surgery, whether upper or lower abdominal, has no significant impact on laparoscopic appendectomy for acute appendicitis. 9 Raised total leucocyte count or raised neutrophil level does not affect the difficulty in performing laparoscopic appendectomy. Similarly raised LFT like serum bilirubin, AST, ALT also has no significant role in predicting the difficulty of laparoscopic cholecystectomy.…”

Section: Discussionmentioning

confidence: 97%

Preoperative predictive factors for difficult laparoscopic appendectomy

Goel

Bansal²,

Baliyan

2017

Int Surg J

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Background: An appendectomy is the surgical removal of the appendix. Appendectomy may be performed laparoscopically or as an open operation. Laparoscopy is now often used as patient resumed normal activity within a shorter period than had been experienced with open appendectomy. Patients had a superior cosmetic result and experienced significantly less postoperative discomfort. In this study, we attempted to determine the predictors for difficult appendectomy using history and clinical examinations, preoperative laboratory data, ultrasonography findings and intraoperative finding.Methods: The study was conducted in Sarojini Naidu Medical College, Agra. All patients who underwent laparoscopic appendectomy from 1st January 2016 to 30th June 2017 were included in the study. A detailed performa was developed to record information regarding patient history, physical examination, laboratory parameters, ultrasonography (USG) findings and intra-operative details. Laparoscopic appendectomy done in more than 120 minutes, converted into open due to difficulty in surgery and not due to complications, severe adhesions were considered to be a case of difficult appendectomy.Results: We found that the difficult laparoscopic appendectomy can be predicted preoperatively based on age >60 years, history of previous lower abdominal surgery, time of onset to surgery >24 hours, acute appendicitis and peri appendicular collection.Conclusions: There are very few reports to determine the predictors of difficult appendectomy and more research is required to establish it.

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“…[25] Although a history of abdominal surgery had been considered a contraindication for laparoscopic surgery in the early days of the procedure, improvements in technique and instrumentation have more recently permitted many laparoscopic procedures to be safely applied to such patients. [24,[26][27][28][29] However, LLR remains a technically demanding procedure and the indications for and efficacy of repeat LLRs are still under discussion. Successful liver resection requires adequate adhesiolysis and mobilization of the involved liver area.…”

Section: Discussionmentioning

confidence: 99%

Case report of the fourth laparoscopic liver resection and review of repeat laparoscopic resection for recurrent hepatocellular carcinoma in cirrhotic liver

Morise¹,

Isetani²,

Kawabe³

et al. 2016

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A 73-year-old woman with liver cirrhosis caused by hepatitis C virus (HCV) underwent treatment of three hepatocellular carcinomas (HCCs) in liver segment 4, following three previous laparoscopic liver resections (LLRs) over 73 months. Contrast-enhanced computed tomography showed three 0.5-1.2 cm HCCs deep within the portal territories of subsegments 4a and 4b. The patient underwent laparoscopic resection of 4a and 4b, with the preservation of the portal branch to 4c, after minimal adhesiolysis around segment 4. The operation lasted 284 min, there was 50 mL of intra-operative bleeding and her recovery was uneventful. She was well, had experienced no recurrence and was HCV-negative, after taking oral anti-HCV therapy, 21 months later. LLR is associated with fewer adhesions after surgery and requires less adhesiolysis, because the laparoscope and forceps can be used in the small spaces between adhesions. The present patient underwent four LLRs over 6 years without severe deterioration of liver functional reserve. LLR is a useful localized therapy, which can be performed repeatedly and may prolong the survival of patients with multicentric metachronous HCCs. Key words:Laparoscopic liver resection, repeat liver resection, hepatocellular carcinoma, liver cirrhosis, anatomical liver resection, subsegmentectomy ABSTRACT Article history:

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Impact of previous abdominal surgery on laparoscopic appendectomy for acute appendicitis

Abstract: Previous abdominal surgery, whether upper or lower abdominal, has no significant impact on laparoscopic appendectomy for acute appendicitis.

Cited by 26 publications

References 12 publications

Laparoscopic liver re-resection is feasible for patients with posthepatectomy hepatocellular carcinoma recurrence: a propensity score matching study

Laparoscopic liver re-resection is feasible for patients with posthepatectomy hepatocellular carcinoma recurrence: a propensity score matching study

Preoperative predictive factors for difficult laparoscopic appendectomy

Case report of the fourth laparoscopic liver resection and review of repeat laparoscopic resection for recurrent hepatocellular carcinoma in cirrhotic liver

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