Gasless Laparoscopic Assisted Transumbilical Appendectomy / 대한내시경복강경외과학회지
Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
; : 74-79, 2011.
Article
em Ko
| WPRIM
| ID: wpr-84158
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
This study evaluated the safety and feasibility of gasless laparoscopic assisted transumbilical appendectomy (GLATUA).METHODS:
Data for 62 GLATUA and 84 laparoscopic appendectomies (LA) for uncomplicated appendicitis, which had been performed over a 12 month period in a single institution, were compared retrospectively. The GLATUAs were carried out through an umbilical incision. The abdominal wall was retracted upward using an "L"-shaped retractor and the inflamed appendix was found by gasless laparoscopic vision. A transumbilical extracorporeal appendectomy was then performed. The LAs were performed using a three-port system.RESULTS:
The GLATUA group had a shorter mean operative time (44.1+/-22.1 vs. 51.5+/-24.7 min, p=0.06), mean time for resuming a soft diet (29.0+/-9.2 vs. 41.3+/-20.7 hrs, p<0.01) and hospital stay (3.0+/-0.9 vs. 3.6+/-1.7, p<0.01) than the LA group. There was no significant difference in complication rates (6.5% vs. 3.6%, p=0.44). The mean medical costs of the GLATUA group were 66.7% of the LA group.CONCLUSION:
GLATUA is a safe, feasible and more cost-effective alternative technique for surgery in uncomplicated acute appendicitis than LA.Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Apendicectomia
/
Apendicite
/
Apêndice
/
Visão Ocular
/
Estudos Retrospectivos
/
Parede Abdominal
/
Dieta
/
Duração da Cirurgia
/
Tempo de Internação
Tipo de estudo:
Observational_studies
Idioma:
Ko
Revista:
Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
Ano de publicação:
2011
Tipo de documento:
Article