Modified laparoscopic appendectomy in surgery

Götz, Friedrich M.; Pier, A; Bacher, C

doi:10.1007/bf00591402

Cited by 117 publications

(37 citation statements)

References 3 publications

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“…Since that time several modifications in the original technique have been made and new instruments have been developed. At least four different descriptions of the technique have been published [8,10,16,26] as well as articles on laser use [19] and a new stapling instrument [4]. The techniques vary in the number of ports used (three vs four) and in the sites of port placement.…”

Section: Discussionmentioning

confidence: 99%

Is laparoscopic better than open appendectomy?

1992

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Laparoscopic appendectomy is becoming increasingly popular as surgeons strive to manage surgical problems via minimally invasive techniques. We reviewed our early experience in 38 patients with laparoscopic appendectomy and compared it to open appendectomies done during the same time period. We found no difference in hospital costs, stay, or wound infection rate. There was a significant difference in OR time: the laparoscopic approach took longer. We conclude that this new approach is not clearly superior to open appendectomy despite theoretical advantages. Newer instruments and further studies are needed.

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Section: Discussionmentioning

confidence: 99%

Is laparoscopic better than open appendectomy?

1992

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“…[9][10][11][12][13] Kollmar et al 14 described moving laparoscopic incisions to hide them in the natural camouflages like the suprapubic hairline and improve cosmesis. Additionally, the reports in the literature indicate that minilaparoscopic appendectomies using 2-3 mm or even smaller instruments along with one 12-mm port minimizes pain and improve cosmesis.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, the reports in the literature indicate that minilaparoscopic appendectomies using 2-3 mm or even smaller instruments along with one 12-mm port minimizes pain and improve cosmesis. 12,15,16 More recently, studies by Ates et al 17 and Roberts et al 18 have described variants of an intracorporeal sling based singleport laparoscopic appendicectomy with good clinical results.…”

Section: Discussionmentioning

confidence: 99%

Two-port vs. conventional (three-port) laparoscopic appendicectomy: a new technique in laparoscopic appendicectomy

2015

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Background: Three-port laparoscopic appendicectomy has proven its worth in the management of appendicitis. From a cosmesis, the umbilical and suprapubic portsites are hidden by natural camouflages, the Right Iliac Fossa (RIF) port is the only visible external sign of surgery. The two-port technique avoids even this marker of abdominal invasion. Methods: 58 patients were studied for this study. Data was collected prospectively. The two port appendicectomy was performed with 10 mm umbilical working port and 5 mm supra-pubic camera port. A stitch was taken transparietaly in RIF which was under camera guidance passed through the tip of appendix and held with suture to retract the appendix. The base was ligated with an intra-corporeal knot and appendix cut and delivered out. Three port appendicectomy was performed via the 10 mm umbilical, 5 mm supra-pubic and 5mm right iliac fossa ports. The appendicular stump was ligated with an endoloop or an intra-corporeal knot, appendix cut and delivered outResults: 58 patients underwent surgery over the one year period for appendicitis. Out of 26 cases attempted, the two port appendicectomy was successful in 21 cases, with conversion to the three-port technique in 4 and conversion to open in 1 case. The complication rates, return to work were comparable between the two groups. Duration of operation was more whereas length of hospital stay was less in two port appendicectomy group as compared to conventional laparoscopic group.Conclusions: Patients who underwent two port appendicectomy had a cosmetically better appearing scar than compared to three port appendicectomy cases.

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“…der Appendektomie nach McBurney u. Sprengel [2] galt jahrzehntelang als Standardverfahren in der Therapie der akuten Appendizitis. Unterschiedlich diskutiert wurde lediglich die Notwendigkeit einer obligaten Tabaksbeutelund Z-Naht.…”

Section: Schumpeliek Und E Schippers (Aachen): Die Technikunclassified