Needlescopic Appendectomy as a Routine Procedure: “Just Because You Can?” or “Just Because You Cannot?”

Ng, W. T.; Kong, C. K.; Tse, S.; Hui, S. K.; Sze, Y. S.

doi:10.1097/00129689-200208000-00022

Cited by 5 publications

(3 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2,4 Briefly, patients were placed supine in a slight Trendelenburg position with one arm extended for vascular access. An indwelling urinary catheter was placed to decompress the bladder.…”

Section: Surgical Techniquementioning

confidence: 99%

See 1 more Smart Citation

An Optimal, Cost-effective Laparoscopic Appendectomy Technique for Our Surgical Residents

Ng¹,

Lee²,

Hui³

et al. 2004

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

View full text Add to dashboard Cite

Since early 1999, we have implemented a standardized technique for laparoscopic appendectomy, which is simple, safe and easily learned and mastered by our residents. Besides superior ergonomics, it offers cosmetic advantages. It is inexpensive as only reusable instruments are used. It incorporates useful modifications, such as the use of suprapubic ports, inferior approach with repositioning of the videoscope from the umbilical port to the left suprapubic port, laparoscopic gauze swabs and instrument-assisted knotting, as well as skeletonization of the appendix. We analyze the outcome of this technique between January 2000 and December 2002. The overall conversion rate of 713 laparoscopic appendectomies was 8.7%, which is comparable with the "best" rates in international literature. Operative times (mean, 59.0 minutes) and the complication rate (6.7%) compared favorably with previous reports on resident training. In summary, our residents feel comfortable with our standardized approach, while producing acceptable results with low cost.

show abstract

“…2,4 Briefly, patients were placed supine in a slight Trendelenburg position with one arm extended for vascular access. An indwelling urinary catheter was placed to decompress the bladder.…”

Section: Surgical Techniquementioning

confidence: 99%

“…1 It is fitting after 4 years of implementing the standardized approach that we evaluate its "anxiously awaited" results in the hands of our surgical residents. 2,3 …”

mentioning

confidence: 99%

An Optimal, Cost-effective Laparoscopic Appendectomy Technique for Our Surgical Residents

Ng¹,

Lee²,

Hui³

et al. 2004

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

View full text Add to dashboard Cite

show abstract

“…As we gained experience in the use of instruments 3 mm in diameter in the treatment of adult pathologies, such as hernia repair, we started to approach children with an acute abdomen laparoscopically, above all in cases suggesting acute appendicitis [6,9,16,32,36]. As confirmed by data reported in the literature, the results we have obtained in children are as good as those for adults, especially where the diagnostic value of the approach is concerned [9,16].…”

Section: Indicationsmentioning

confidence: 87%

The laparoscopic approach in abdominal emergencies: has the attitude changed?

et al. 2007

View full text Add to dashboard Cite

We believe that laparoscopy is not an alternative to physical examination/good clinical judgment or to conventional noninvasive diagnostic methods in treating the patient with symptoms of an acute abdomen. However it must be considered an effective option in treating patients in whom these methods fail and as a challenging alternative to open surgery in the management algorithm for abdominal emergencies.

show abstract

Minilaparoscopic colorectal resection: a preliminary experience and an outcomes comparison with classical laparoscopic colon procedures

et al. 2007

View full text Add to dashboard Cite

Even if limited by its retrospective design, the reported experience shows that minilaparoscopic surgery may be a safe and effective approach to colon pathology. The described features make minilaparoscopy a challenging alternative to laparoscopy for colon disease. If proven to be cost effective without undue risk, as long as adequate training is obtained and proper preparation is observed, minilaparoscopy may become a standard surgical approach for selected patients.

show abstract

Needlescopic Appendectomy as a Routine Procedure: “Just Because You Can?” or “Just Because You Cannot?”

Cited by 5 publications

References 6 publications

An Optimal, Cost-effective Laparoscopic Appendectomy Technique for Our Surgical Residents

An Optimal, Cost-effective Laparoscopic Appendectomy Technique for Our Surgical Residents

The laparoscopic approach in abdominal emergencies: has the attitude changed?

Minilaparoscopic colorectal resection: a preliminary experience and an outcomes comparison with classical laparoscopic colon procedures

Contact Info

Product

Resources

About