Laparoscopic Appendicectomy:Prospective Study

• 作者: Benelkhaiat Benomar Ridouan Boutajanouite Mehdi Habbab Adil HamriAsma Narjis Youssef
• 来源期刊: 美中医学:英文版
• 学科: 医学
• 关键词: APPENDICITIS APPENDECTOMY videosurgery
• 年，卷（期）: 2020,（3）
• 页码范围: 87-91
• 页数: 5页
• 分类号: R65

摘要

Appendectomy is the chosen treatment for patients with acute appendicitis and laparoscopic approach for these cases is an option to have in mind.The main purpose of this paper is to analyze the clinical aspects,describesurgical technic,its advantages,surgery results and the evolution during and after the operation in 37 cases of laparoscopic appendectomy.All the patients with diagnosed appendicitis were submitted to laparoscopic appendectomy on Beneficen in Ibn Tofail Hospital,between April 2019 and April2020,using a specific protocol.There was a predominance in young adults,sex ratio was 1,05,having a classic clinical finding of acute appendicitis in 65.44%of the cases,high leucocytosis in 81%and by anatomic pelvic site of vermiform appendix in 84%.The appendicectomy realised with full laparoscopy“IN”required three ports(Fig.1),to secure the appendix base,the appendix was doubly ligated after a good appendix meso dissection by electrocautery.The specimen is removed without endobag through camera port,thereby saving the cost of endostapler and an endobag.Our technique was Low Cost Technique.The mean time taken by the operation was 40 minutes with a conversion rate of 8%.In hospital period was 48 hours with 5 days to return to normal activities.The laparoscopic appendectomy is nowadays the technique of choice for the treatment of acute appendicitis.