Abstract
Background: Appendicitis is the most common cause of acute abdomen, and appendectomy is the most frequent surgical procedure performed in the world. In recent times, laparoscopic appendectomy has been gaining increasing consensus, although comparison with traditional open surgery is still debated. Recent reports seem to agree in recognizing laparoscopy as the favourable approach in cases of non-complicated appendicitis, in women and in obese patients. The use of a linear stapler to close the appendiceal stump also seems to guarantee a dramatic decrease of complications and this observation could be the rationale for considering the laparoscopic approach to also be safe in complicated appendicitis. In these cases, dissection of the mesoappendix and isolation of the viscum could be very difficult and could cause complications. By proposing this technique using a laparoscopic approach, we try to permit a simple and safe section of the appendix leaving the detachment from vessels and from the neighbourhood to a second moment. Materials and Methods: We report our initial experience including the first 50 cases and proposing our personal technique of laparoscopic appendectomy. Results and Conclusion : We recorded only one intraoperative haemorrhage, one bladder perforation due to trocar insertion and no conversion. Our goal is to standardize and simplify the laparoscopic approach in order to give any surgeon, even non-expert ones, a simple way to remove the viscum especially in complicated pictures.
| Original language | English |
|---|---|
| Pages (from-to) | 6-8 |
| Number of pages | 3 |
| Journal | Journal of Minimal Access Surgery |
| Volume | 8 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Jan 2012 |
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Keywords
- Appendicitis
- endoscopic stapler
- laparoscopy
ASJC Scopus subject areas
- Surgery
Cite this
The "base-First" technique in laparoscopic appendectomy. / Piccinni, Giuseppe; Sciusco, Andrea; Gurrado, Angela; Lissidini, Germana; Testini, Mario.
In: Journal of Minimal Access Surgery, Vol. 8, No. 1, 01.2012, p. 6-8.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The "base-First" technique in laparoscopic appendectomy
AU - Piccinni, Giuseppe
AU - Sciusco, Andrea
AU - Gurrado, Angela
AU - Lissidini, Germana
AU - Testini, Mario
PY - 2012/1
Y1 - 2012/1
N2 - Background: Appendicitis is the most common cause of acute abdomen, and appendectomy is the most frequent surgical procedure performed in the world. In recent times, laparoscopic appendectomy has been gaining increasing consensus, although comparison with traditional open surgery is still debated. Recent reports seem to agree in recognizing laparoscopy as the favourable approach in cases of non-complicated appendicitis, in women and in obese patients. The use of a linear stapler to close the appendiceal stump also seems to guarantee a dramatic decrease of complications and this observation could be the rationale for considering the laparoscopic approach to also be safe in complicated appendicitis. In these cases, dissection of the mesoappendix and isolation of the viscum could be very difficult and could cause complications. By proposing this technique using a laparoscopic approach, we try to permit a simple and safe section of the appendix leaving the detachment from vessels and from the neighbourhood to a second moment. Materials and Methods: We report our initial experience including the first 50 cases and proposing our personal technique of laparoscopic appendectomy. Results and Conclusion : We recorded only one intraoperative haemorrhage, one bladder perforation due to trocar insertion and no conversion. Our goal is to standardize and simplify the laparoscopic approach in order to give any surgeon, even non-expert ones, a simple way to remove the viscum especially in complicated pictures.
AB - Background: Appendicitis is the most common cause of acute abdomen, and appendectomy is the most frequent surgical procedure performed in the world. In recent times, laparoscopic appendectomy has been gaining increasing consensus, although comparison with traditional open surgery is still debated. Recent reports seem to agree in recognizing laparoscopy as the favourable approach in cases of non-complicated appendicitis, in women and in obese patients. The use of a linear stapler to close the appendiceal stump also seems to guarantee a dramatic decrease of complications and this observation could be the rationale for considering the laparoscopic approach to also be safe in complicated appendicitis. In these cases, dissection of the mesoappendix and isolation of the viscum could be very difficult and could cause complications. By proposing this technique using a laparoscopic approach, we try to permit a simple and safe section of the appendix leaving the detachment from vessels and from the neighbourhood to a second moment. Materials and Methods: We report our initial experience including the first 50 cases and proposing our personal technique of laparoscopic appendectomy. Results and Conclusion : We recorded only one intraoperative haemorrhage, one bladder perforation due to trocar insertion and no conversion. Our goal is to standardize and simplify the laparoscopic approach in order to give any surgeon, even non-expert ones, a simple way to remove the viscum especially in complicated pictures.
KW - Appendicitis
KW - endoscopic stapler
KW - laparoscopy
UR - http://www.scopus.com/inward/record.url?scp=84856391575&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84856391575&partnerID=8YFLogxK
U2 - 10.4103/0972-9941.91772
DO - 10.4103/0972-9941.91772
M3 - Article
C2 - 22303081
AN - SCOPUS:84856391575
VL - 8
SP - 6
EP - 8
JO - Journal of Minimal Access Surgery
JF - Journal of Minimal Access Surgery
SN - 0972-9941
IS - 1
ER -