Laparoskopisch assistierte Appendektomie

Abstract

Zusammenfassung. Grundlagen: Die akute Appendizitis ist die häufigste kinderchirurgische Indikation.Methodik: Fallbericht über die erste Einzel-TrokarLaparoskopie-assistierte extrakorporale Appendektomie in Kroatien.Ergebnisse: Bei dieser Technik wird der Appendix über den Arbeitsport herausgezogen und die Resektion vor der Bauchdecke durchgeführt. Analog zu publizierten Daten ist unsere Erfahrung mit der Technik sehr gut, auch mit gutem kosmetischem Ergebnis.Schlussfolgerungen: Die Erfahrung mit der neuen minimal invasiven Technik steht im Einklang mit publizierten Daten.Schlüsselwörter: Akute Appendizitis, Laparoskopie assistierte extrakorporale Appendektomie.Summary. Background: Acute appendicitis is probably the most common problem in pediatric surgery.Methods: Report on first case of single port laparoscopically assisted extracorporeal appendectomy in Croatia.Results: In this technique, the appendix is delivered to the surface through the working port, and appendectomy is carried out extracorporeally. In keeping with recent publications, our experience is encouraging. Superior cosmetic result and lower operative stress are advantages compared to open surgery; shorter procedure and reduced cost are advantages compared to conventional laparoscopic procedure.Conclusions: Experience with single port laparoscopically assisted extracorporeal appendectomy is in keeping with published data.

The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review

“…In this case series of 14 patients, the conversion and complication rates were similar to those reported by Valla et al [7], but the operating times were longer, averaging 87.5 min. Other authors have reported similar results [5,15,50,[56][57][58][59][60][61][62][63][64][65][66].…”

Transumbilical laparoscopically assisted appendectomy in children

“…Therefore, an adjusted operative technique using minimal and gentle movements is required. In Children's Hospital Zagreb the first TULAA was performed in late 2004 [25], and since mid-2005, TULAA has been our first choice for uncomplicated appendicitis and interval appendectomies. In our series, the mean operative time is shorter in the TULAA group (p = 0.014).…”