Apendicectomia videoassistida por acesso único transumbilical comparada à via laparoscópica e laparotômica na apendicite aguda

Lima, Geraldo José de Souza; Silva, Alcino Lázaro da; Leite, Rodrigo Fabiano Guedes; Abras, Gustavo Munayer; Castro, Eduardo Godoy; Pires, Livio José Suretti

doi:10.1590/s0102-67202012000100002

Cited by 10 publications

(4 citation statements)

References 25 publications

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“…Since then, the videolaparoscopic techniques are considered one of the greatest revolutions in surgery, being the gold standard approach for most of the interventions on the digestive tract. Its advantages are widely accepted, and include the faster recovery as well as a better aesthetic result 7 , 10 .…”

Section: Introductionmentioning

confidence: 99%

Suprapubic laparoscopic cholecystectomy: technique and preliminary results

Sales¹,

Pinto²,

Queiroz³

et al. 2014

ABCD, arq. bras. cir. dig.

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BackgroundThe minimally invasive abdominal surgery has evolved to reduce portals, culminating with a single incision and natural orifice operation. However, these methods are still expensive, difficult to implement and with questionable aesthetic results.AimTo present the standardization and preliminary results of a technique for performing laparoscopic suprapubic access by the principle which was called the Supra Pubic Endoscopic Surgery for cholecystectomy.MethodThe average body mass index of patients, the mean operative time, clinical data of the postoperative complications and quality of life were prospectively studied. The operation incisions consisted of: A) umbilical for instrumental dissection and clipping; B) in the right groin for handling and gallbladder gripping; C) suprapubic for the camera. With the patient in reverse Trendelenburg and left lateral decubitus, the operation flew by the camera trocar in C, proceeding with dissection and isolation of the biliary pedicle, identification of cystic duct and artery, with usual instrumentation. Transcystic intraoperative cholangiography was performed in all cases in which there were indications. The procedure was completed with clipping and sectioning of the cystic duct and artery, retrograde resection of the gallbladder and extracting it by the umbilical trocar incision under direct vision.ResultsThirty patients undergone this surgical procedure between March and June 2012 and were evaluated. The mean age was 40.7 years and the indications were typical biliary colic in 18 cases (60 %), cholecystitis in five cases (16.6 %), biliary pancreatitis in one case (3.3%); polyp in three cases (10%) and obstructive jaundice at three cases (10%). The average body mass index was 27.8 (23.1-35.1) and surgical time ranged between 24 and 70 minutes.ConclusionThe technique proved to be feasible and safe , with no significant complications, and satisfactory cosmetic results.

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Section: Introductionmentioning

confidence: 99%

Suprapubic laparoscopic cholecystectomy: technique and preliminary results

Sales¹,

Pinto²,

Queiroz³

et al. 2014

ABCD, arq. bras. cir. dig.

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“…Under this technique there is less pneumoperitoneum exposition time. Furthermore, there is no need for the use of the electrocautery which could also be responsible for aerosol formation 8 .…”

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confidence: 99%

CO² filtration during pneumoperitoneum inflation and deflation in patients undergoing laparoscopy during the COVID-19 pandemic

Abras

Silva

Lima

et al. 2021

Rev. Col. Bras. Cir.

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The current Covid-19 pandemic has been the most discussed topic of the year, mostly about protection and ways to avoid dissemination of the virus. In the healthcare system, especially in the operating rooms, the viability of laparoscopic surgery was questioned, mostly because of the transmission through aerosol. This article tries to suggest a way to minimize risks of laparoscopic surgery, during this situation, by using electrostatic filters, a simple, effective and low cost alternative.

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“…Nesse contexto, a técnica escolhida em primeiro momento para o caso relatado foi a da apendicectomia videolaparoscopica, sendo este o tratamento padrão ouro para apendicites agudas não complicadas e complicadas (Lima et al, 2012). Essa técnica é realizada primeiramente através da assepsia e colocação dos campos estéreis, posteriormente o paciente é colocado em posição de Trendelemburg e rotacionado em decúbito lateral esquerdo.…”

Section: Relato De Casounclassified

Variação anatômica do apêndice cecal e sua implicação na apendicectomia: estudo de caso em uma região do meio oeste catarinense

Da Silva,

Ghyzi,

Scripnic

et al. 2023

OLEL

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A técnica escolhida para a apendicectomia depende de vários fatores, como a localização do apêndice, a gravidade da inflamação e a experiência do cirurgião. Entretanto, esse órgão, que é comumente localizado em posição retrocecal, pode se apresentar em posição anatômica atípica, gerando desafios diagnósticos e cirúrgicos. O objetivo deste trabalho foi relatar o caso de um paciente com variação anatômica considerada muito rara do apêndice cecal e o impacto deste fator na conduta cirúrgica e no pós-operatório. As informações foram adquiridas através da análise do prontuário, diálogo com o paciente, documentos fotográficos dos procedimentos diagnósticos e revisão de literaturas. O caso relatado e as publicações levantadas trazem a discussão da conduta cirúrgica frente a uma situação complexa que é a variação anatômica do apêndice e evidenciam que, embora uma minoria de casos tenham prognósticos desfavoráveis no momento cirúrgico, quando realizada uma técnica bem executada, a apendicectomia é capaz de obter resultados satisfatórios no que diz respeito à eficácia no diagnóstico precoce e melhoria da qualidade de recuperação do paciente no pós cirúrgico, independente da sua posição anatômica.

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Apendicectomia videoassistida por acesso único transumbilical comparada à via laparoscópica e laparotômica na apendicite aguda

Cited by 10 publications

References 25 publications

Suprapubic laparoscopic cholecystectomy: technique and preliminary results

Suprapubic laparoscopic cholecystectomy: technique and preliminary results

CO² filtration during pneumoperitoneum inflation and deflation in patients undergoing laparoscopy during the COVID-19 pandemic

Variação anatômica do apêndice cecal e sua implicação na apendicectomia: estudo de caso em uma região do meio oeste catarinense

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