Transgastric appendicectomy.
Br J Surg
; 100(7): 911-5, 2013 Jun.
Article
em En
| MEDLINE
| ID: mdl-23575528
ABSTRACT
BACKGROUND:
Experimental studies and small anecdotal reports have documented the potential and feasibility of transgastric appendicectomy. This paper reports the results of the new technique in a selected group of patients.METHODS:
From April 2010 transgastric appendicectomy was offered to all patients with acute appendicitis, but without generalized peritonitis or local contraindications.RESULTS:
Of 111 eligible patients 15 agreed to undergo the transgastric operation. After conversion of the first case to laparoscopy because of severe inflammation and adhesions, the following 14 consecutive transgastric procedures were completed. Two patients with initial peritonitis required laparoscopic lavage 4 days after transgastric appendicectomy, but no leaks were detected at the appendiceal stump or stomach.CONCLUSION:
These preliminary results have shown the feasibility of this innovative procedure. Additional studies, however, are required to demonstrate the specific advantages and disadvantages of this approach, and define its role in clinical surgery.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Apendicectomia
/
Apendicite
/
Gastroscopia
/
Cirurgia Endoscópica por Orifício Natural
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article