Technical Modifications for Laparoscopic Appendectomy and Other Pelvic Procedures Using Microinstruments

2000 ◽  
Vol 10 (4) ◽  
pp. 211-214
Author(s):  
Jorge Cueto ◽  
Martín Salvador Valencia-Reyes ◽  
Jose Antonio Vazquez-Frias ◽  
Pablo Castaneda-Leeder ◽  
Roberto Nevarez-Bernal ◽  
...  
Keyword(s):  
Laparoscopic Appendectomy ◽  
Technical Modifications

Technical Modifications in Laparoscopic Appendectomy

2011 ◽  
Vol 4 ◽  
pp. 1-4 ◽  
Author(s):  
Ali Aminian ◽  
Faramarz Karimian ◽  
Karamollah Toolabi ◽  
Rasoul Mirsharifi
Keyword(s):  
Laparoscopic Appendectomy ◽  
Technical Modifications

Technical modifications of appendiceal transection during laparoscopic appendectomy

2020 ◽  
Vol 99 (12) ◽  
Keyword(s):  
Postoperative Complications ◽  
Laparoscopic Appendectomy ◽  
Postoperative Morbidity ◽  
Operative Time ◽  
Length Of Hospital Stay ◽  
Surgical Site Infections ◽  
Stump Closure ◽  
Technical Modifications ◽  
Appendiceal Stump ◽  
Appendiceal Stump Closure

Introduction: Appendiceal transection is the most critical part of laparoscopic appendectomy (LAPPE). The aim of our study was to evaluate postoperative and economic outcomes of laparoscopic appendectomy with different technical modifications of transection of the appendix. Methods: This was a prospective, randomized, unicenter clinical study comparing different techniques of appendiceal transection in patients with acute appendicitis during the study period (18 months). The patients were randomized to one of three arms – endoloop, hem-o-lok clips and the stapler. Results: In total, 120 patients were enrolled in the study. The shortest operative time was noted in the hem-o-lok arm (37.3 minutes); mean length of hospital stay (3.7 days) was comparable in all study arms. Postoperative morbidity was 6.6%; all recorded complications were SSIs (Surgical Site Infections). The number of postoperative complications was comparable in all study arms. Mean direct costs of laparoscopic appendectomy were lowest in the hem-o-lok arm. According to our findings, LAPPE is not a profit making surgery irrespective of the type of appendiceal transection (mean profit in the study patients was CZK -4019). Conclusion: The rate of postoperative complications was similar for all the technical modifications of appendiceal stump closure. As indicated by the study outcomes, hem-o-lok clips have the potential of becoming the method of choice in securing the appendix base during LAPPE.

scholarly journals A randomized clinical trial of technical modifications of appendix stump closure during laparoscopic appendectomy for uncomplicated acute appendicitis

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Peter Ihnát ◽  
Milan Tesař ◽  
Lubomír Tulinský ◽  
Lucia Ihnát Rudinská ◽  
Okaikor Okantey ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Surgical Site Infection ◽  
Randomized Clinical Trial ◽  
Laparoscopic Appendectomy ◽  
Surgical Site Infections ◽  
University Hospital ◽  
Site Infection ◽  
Stump Closure ◽  
Technical Modifications ◽  
The Mean

Abstract Background Closure of the appendix stump presents the most critical part of laparoscopic appendectomy. The aim of the present study was to compare the medical outcomes and cost analysis of laparoscopic appendectomy with respect to the different methods of stump closure. Methods This was a prospective randomized clinical trial conducted in a single institution (University Hospital Ostrava) within a 2-year study period. All included patients were randomized into one of three trial arms (endoloop, hem-o-lok clips or endostapler). Results In total, 180 patients (60 patients in each arm) were enrolled into the study. The mean length of hospital stay (3.6 ± 1.7 days) was comparable in all study arms. The shortest operative time was noted in the hem-o-lok subgroup of patients (37.9 ± 12.5 min). Superficial surgical site infection was detected in 4.4% of study patients; deep surgical site infection was noted in 1.7% of the patients. The frequency of surgical site infections was comparable in all study arms (p = 0.7173). The mean direct costs of laparoscopic appendectomy were significantly the lowest in the hem-o-lok subgroup of patients. Laparoscopic appendectomy is not a profit-making procedure in our institution (mean profit of made from the study patients was—104.3 ± 579.2 Euro). Closure of the appendix stump by means of endostapler presents the most expensive and the highest loss-incurring technique (p = 0.0072). Conclusions The present study indicates that all technical modifications of appendix stump closure are comparable with regards to postoperative complications. The stapler technique is significantly the most expensive. We concluded that hem-o-lok clips have the potential for becoming the preferred method of securing the appendix base during laparoscopic appendectomy. Trial registration NCT03750032 (http://www.clinicaltrials.gov).

The Initial Experience with a Single Incision Laparoscopic Appendectomy

2009 ◽  
Vol 25 (5) ◽  
pp. 312 ◽  
Author(s):  
Jong Won Kim ◽  
Jun Seok Park ◽  
In Taik Chang ◽  
Yoo Shin Choi ◽  
Hyung Jun Song ◽  
...  
Keyword(s):  
Laparoscopic Appendectomy ◽  
Single Incision ◽  
Initial Experience

EARLY RESULTS OF SINGLE-PORT LAPAROSCOPIC APPENDECTOMY

2017 ◽  
pp. 103-106
Author(s):  
Minh Duc Pham
Keyword(s):  
Laparoscopic Appendectomy ◽  
Single Port ◽  
Operation Time ◽  
Invasive Procedure ◽  
Minimal Invasive ◽  
University Hospital ◽  
Early Results ◽  
Sils Port ◽  
The Mean ◽  
A New Technique

Background: Conventional three–port laparoscopic appendectomy is becoming popular for the treatment of acute appendicitis. In this report, we present the early results of a new technique of laparoscopic appendectomy conducted through a single-port. Patients and Methods: From March 2011 to October 2013, we have performed 86 operations Single Port Laparoscopic Appendectomy at Hue University Hospital and Hue Central Hospital. SILS Port (Covidien) is used, it can be performed with basic laparoscopic instruments. Results: In this study, 86 patients underwent Single-Port laparoscopic appendectomy, among them 52.33% were femele, 47.67% were male, female/male ratio was 1.09. The mean age was 33.09. An orther trocar insertion was required in 2 patients (2.33%). The mean operation time was 42.03 minutes and mean postoperative hospital stay 3.37 days. Postoperative complication occurred in 2 case (2.33%) was of omphalitis. During 2 weeks follow up, 2 case (2.33%) was of omphalitis. Conclusions: Single - port intracorporeal appendectomy is a safe, minimal invasive procedure with excellent cosmetic results. Key words: Single Port Laparoscopic Appendectomy, appendectomy

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