BACKGROUND: Minilaparoscopic appendectomy for appendicitis is not a well-established procedure. This approach provides less abdominal wall trauma, fewer complications, and excellent cosmetic results. Our aim was to show the feasibility and safety of the minilaparoscopic approach. METHODS: Minilaparoscopic appendectomy was performed in 37 patients. Two 2.2-mm trocars were used to manipulate a 2.2-mm, 0-degree laparoscope and for grasper access. A 5-mm trocar was used for the ultrasonic scalpel. RESULTS: No deaths occurred. In 3 patients (8%), appendectomy was aborted due to pathology of the ovary. Conversion to the open approach occurred in 2.7% of patients. The average operating time was 34 minutes (range, 15 to 80), and the median length of hospital stay was 1.2 day (range, 1 to 5). CONCLUSIONS: The minilaparoscopic approach a) has the same advantages as the conventional laparoscopic approach in terms of better diagnostic accuracy and safety; b) a low incidence of complications; and c) yields excellent cosmetic results.

DI LORENZO, N., Manzelli, A., Coscarella, G., Pietrantuono, M., Jarzembowski, T.m., Fisichella, P.m., et al. (2006). Minilaparoscopic appendectomy for acute appendicitis. JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, 10(1), 52-55.

Minilaparoscopic appendectomy for acute appendicitis.

DI LORENZO, NICOLA;GASPARI, ACHILLE
2006-01-01

Abstract

BACKGROUND: Minilaparoscopic appendectomy for appendicitis is not a well-established procedure. This approach provides less abdominal wall trauma, fewer complications, and excellent cosmetic results. Our aim was to show the feasibility and safety of the minilaparoscopic approach. METHODS: Minilaparoscopic appendectomy was performed in 37 patients. Two 2.2-mm trocars were used to manipulate a 2.2-mm, 0-degree laparoscope and for grasper access. A 5-mm trocar was used for the ultrasonic scalpel. RESULTS: No deaths occurred. In 3 patients (8%), appendectomy was aborted due to pathology of the ovary. Conversion to the open approach occurred in 2.7% of patients. The average operating time was 34 minutes (range, 15 to 80), and the median length of hospital stay was 1.2 day (range, 1 to 5). CONCLUSIONS: The minilaparoscopic approach a) has the same advantages as the conventional laparoscopic approach in terms of better diagnostic accuracy and safety; b) a low incidence of complications; and c) yields excellent cosmetic results.
Pubblicato
Rilevanza internazionale
Articolo
Nessuno
Settore MED/18 - Chirurgia Generale
English
acute disease; adolescent; adult; appendectomy; appendicitis; article; child; female; human; instrumentation; laparoscopy; male; methodology; middle aged; Acute Disease; Adolescent; Adult; Appendectomy; Appendicitis; Child; Female; Humans; Laparoscopy; Male; Middle Aged
PMID: 16709358
DI LORENZO, N., Manzelli, A., Coscarella, G., Pietrantuono, M., Jarzembowski, T.m., Fisichella, P.m., et al. (2006). Minilaparoscopic appendectomy for acute appendicitis. JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, 10(1), 52-55.
DI LORENZO, N; Manzelli, A; Coscarella, G; Pietrantuono, M; Jarzembowski, Tm; Fisichella, Pm; Gaspari, A
Articolo su rivista
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/41017
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 2
  • ???jsp.display-item.citation.isi??? ND
social impact