LAPAROSCOPIC APPENDECTOMY; COST EFFECTIVE TECHNIQUE | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 31, Issue 4, October 2012, Page 133-140 PDF (634.19 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2012.367247 | ||||
 View on SCiNiTO | ||||
| Author | ||||
| Mohamed A. Said* | ||||
| Department of Surgery, Al Azhar University, Egypt | ||||
| Abstract | ||||
| Background: Appendectomy is one of the most common general surgical procedures and the most common emergency general surgical operation performed all over the world. In 1983, Kurt Semm performed the first successful Laparoscopic appendectomy (LA). Aim of the work: The main limitations of LA are the longer operative time, which can be shortened by increasing skills and experience, and the increased cost, which can be minimized by adopting a modified low cost technique, which is the aim of our work. Patients and Methods: One hundred and four patients were included in this study. All of them were having suspected appendicitis according to the clinical picture, Alvarado score, laboratory and ultrasonographic findings. Patients were submitted to LA by using the modified technique with the details mentioned below. There was no need for the commercially used endo loops or endo GIA staplers. The laparoscopic and histopathologic findings, the operative time and outcome are all recorded. Results: For the included patients, three port technique was used in 74(71.2%) and two port technique in 30(28.8%) of them. The Laparoscopically inflamed appendix was found in 89(85.65%) and the histopathologically inflamed was confirmed in 92 (88.5%). Concurrent pathology was found in 12(11.5%) and different pathology in 9 (8.7%). The mean operative time of LA only was 42 minutes, and 95 minutes when other procedure was added. Complications were reported in three cases. Conversion rate was 10.6%.and there was no mortality. Conclusion: With this modified technique, we found Laparoscopic appendectomy is safe, cost effective and efficient, and we recommend it as first choice approach if not contraindicated. | ||||
| Keywords | ||||
| Laparoscopic appendectomy; different techniques; low cost | ||||
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