Needlescopic appendectomy versus conventional laparoscopic appendectomy in young patients.

Autor: Okamoto N; Department of Surgery, Yokohama Asahi Chuo General Hospital, Kanagawa, Japan., Sujishi K; Department of Surgery, Yokohama Asahi Chuo General Hospital, Kanagawa, Japan., Tsugawa S; Department of Surgery, Yokohama Asahi Chuo General Hospital, Kanagawa, Japan., Jin L; Department of Surgery, Yokohama Asahi Chuo General Hospital, Kanagawa, Japan., Suzuki T; Department of Surgery, Yokohama Asahi Chuo General Hospital, Kanagawa, Japan., Waseda M; Department of Surgery, Yokohama Asahi Chuo General Hospital, Kanagawa, Japan.
Jazyk: angličtina
Zdroj: Asian journal of endoscopic surgery [Asian J Endosc Surg] 2023 Apr; Vol. 16 (2), pp. 241-247. Date of Electronic Publication: 2022 Nov 24.
DOI: 10.1111/ases.13146
Abstrakt: Introduction: Several studies have reported that needlescopic appendectomy (NA) is a safe and effective procedure for appendicitis because of reduced trocar wounds and tissue trauma. The aim of this study was to evaluate the efficacy of NA in young patients under 40 years of age whose cosmesis matters with appendicitis by comparing it to conventional laparoscopic appendectomy (CLA).
Methods: We retrospectively reviewed our database looking for patients under 40 years of age diagnosed with appendicitis who underwent NA or CLA from January 2013 to April 2017. Patients were divided into two groups: the NA group, and the CLA group. Data collected from each group included age, gender, body mass index, preoperative C-reactive protein, emergency or non-emergency settings, operative time, postoperative length of stay, postoperative complications, and pathological diagnosis.
Results: Fifty-four patients underwent NA and 53 patients underwent CLA. The groups were similar in terms of demographic features. Pathological diagnoses were divided into the following categories: catarrhalis (n = 35), phlegmonous (n = 37), and gangrenous (n = 35). No significant difference was noted regarding the distribution of the three groups (P = .4). NA resulted in significantly shorter operative times (P = .0005), and reduced lengths of hospital stay (P = .03) as compared to CLA. There was no significant difference in the number of complications between the two groups.
Conclusion: NA might be an effective surgical technique when performing a laparoscopic appendectomy in young patients with appendicitis.
(© 2022 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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