2014
DOI: 10.1590/s0102-6720201400s100018
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Abstract: IntroductionDespite dating more than 30 years after the first laparoscopic appendectomy, ileocecal appendix resection is still performed by laparotomy in more than 90% of cases, in our country.AimTo describe a technique for laparoscopic removal of the ileocecal appendix with three portals, at low cost and very good aesthetic appearance.TechniqueThree incisions, one umbilical and two suprapubic are made; permanent material used comprises: grasping forceps, hook, scissors, needle holders, three metal trocars and… Show more

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Cited by 13 publications
(8 citation statements)
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“…Many variants have been described in the laparoscopic technique, which involves the placement of a 10 mm umbilical trocar for the camera, another of 5 mm in the left iliac fossa and another more than 5 mm in the right upper quadrant [ 1 ]. The meso-appendix is divided with a stapler or harmonic scalpel and the appendicular base is tied with single or double endoloops, or endoscopic stapler, and the appendix is extracted in an endobag, which is considered the ideal extraction, through the umbilical port [ 3 , 7 ].…”
Section: Discussionmentioning
confidence: 99%
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“…Many variants have been described in the laparoscopic technique, which involves the placement of a 10 mm umbilical trocar for the camera, another of 5 mm in the left iliac fossa and another more than 5 mm in the right upper quadrant [ 1 ]. The meso-appendix is divided with a stapler or harmonic scalpel and the appendicular base is tied with single or double endoloops, or endoscopic stapler, and the appendix is extracted in an endobag, which is considered the ideal extraction, through the umbilical port [ 3 , 7 ].…”
Section: Discussionmentioning
confidence: 99%
“…Carlos Domene reports the use of three trocars, 5–10 mm umbilical, one of 5 mm in the right iliac fossa and another of 10 mm in the left iliac fossa, the meso-appendix and the cecal appendix are ligated with 2-0 silk, sectioned with electric hook and the specimen is extracted without an endobag through the port of the left iliac fossa and invaginates the appendicular stump with the same 2-0 silk suture, with the possibility of increasing the incidence of infection in the extraction port [ 7 ].…”
Section: Discussionmentioning
confidence: 99%
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“…As it may be difficult to differentiate acute inflammatory appendicitis and appendiceal neoplasms pre-operatively, surgeons should endeavour for atraumatic en-bloc appendectomies and avoid piece-meal removal. Some centres advocate dissecting the mesoappendix close to the appendiceal specimen, leaving the mesoappendix behind (25,26). We propose that surgeons should remove the entire mesoappendix to assess regional appendiceal lymphatic involvement (16).…”
Section: Discussionmentioning
confidence: 99%