Two-port laparoscopic appendectomy as transition to laparoendoscopic single site surgery
| Autor: | José Gustavo Olijnyk, Guilherme Gonçalves Pretto, Omero Pereira da Costa Filho, Fernando Koboldt Machado, Sidney Raimundo Silva Chalub, Leandro Totti Cavazzola |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Journal of Minimal Access Surgery, Vol 10, Iss 1, Pp 23-26 (2014) |
| Druh dokumentu: | article |
| ISSN: | 0972-9941 1998-3921 |
| DOI: | 10.4103/0972-9941.124460 |
| Popis: | Background: According to the precepts of reduced surgical trauma and better cosmesis, an intermediate laparoscopic appendectomy technique between the conventional three-trocar procedure and Laparoendoscopic Single Site Surgery (LESS) was performed, based on literature review and experience of the surgical team. Patients and Methods: Patients with early stage acute appendicitis and a favourable anatomical presentation were selected. The procedure was performed with two ports: A 10 mm trocar at the umbilicus site for laparoscope and a 5 mm one just above the pubic bone for grasper. The appendix was secured by external wire traction through a right iliac fossa puncture with 14-gauge intravenous catheter. Results: From August 2009 to December 2012, we performed 42 cases; two required conversion to a conventional laparoscopic technique. There were no complications in the remaining, no wound infections and a mean operation time of 64.5 minutes. Conclusion: The use of two-port laparoscopic appendectomy can act as a LESS intermediate step procedure, without loss of instrumental triangulation and maintenance of appropriate counter-traction. This technique can be used as an alternative to the three-port laparoscopic procedure in patients with initial presentation of appendicitis and a favourable anatomical position. |
| Databáze: | Directory of Open Access Journals |
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