PMID: 22569970May 10, 2012Paper

Transumbilical laparoscopic assisted appendectomy compared with laparoscopic and laparotomic approaches in acute appendicitis

Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery
Geraldo José de Souza LimaLivio José Suretti Pires

Abstract

Acute appendicitis is the most common cause of acute abdominal surgery. Despite nearly three decades comparing laparoscopic with laparotomic appendectomy, the available scientific evidence does not show consensus of opinion about the best access for the treatment of acute appendicitis. The transumbilical laparoscopic assisted appendectomy combines the advantages of laparoscopic access to the simplicity of the laparotomic technique. To compare the three technical advantages showing possible tendency to transumbilical laparoscopic assisted appendectomy. This is a retrospective study comparing three series with 1232 patients. Variables were: operative time, hospital stay, early and late postoperative complications, postoperative pain and earlier return to daily activities. The averaged surgical time was 59.8 min in laparotomic appendectomy, 75.5 min in laparoscopic appendectomy and 51,7 min in transumbilical laparoscopic assisted appendectomy with significant difference. The incidence of postoperative pain, general complications and wound infection were greater in the group submitted to laparotomic appendectomy. The earlier return to daily activities and short hospital stay were observed in groups laparoscopic appendectomy and tra...Continue Reading

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Apr 22, 2014·World Journal of Gastrointestinal Endoscopy·Nicola ZampieriFrancesco Saverio Camoglio
May 11, 2017·Revista do Colégio Brasileiro de Cirurgiões·Fernanda Dos SantosTercio DE Campos
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