WHY TO CHOOSE LAPAROSCOPIC APPENDECTOMY ? 

Author: Samuel MateiCoauthor: Săsăran Vladuț;Anita Kardos

Coordinators: Medical Doctor Muresan Mircea Medical Doctor Petrisor Marius Daniel

Background

• 4000 years ago in Ancient Egypt.

• removed when inflamed

http://laparoscopy.blogs.com/prevention_management_3/2010/08/laparoscopic-appendectomy.html

http://www.drugs.com/health-guide/images/205196.jpg

http://umm.edu/programs/surgery/services/minimallyinvasive/appendectomy#ixzz3XBrReZ00

Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med. May 1986;15(5):557-64

first laparoscopic appendectomy in 1980 by Kurt Semm

Larson’s reasons for laparoscopic appendectomy

2007 study developed in Department of Surgery, Prince of Wales Hospital on 1133 patients

Laparoscopic approach is preferable

http://www.ncbi.nlm.nih.gov/pubmed/17617333.Larson GM, Cheadle WG, Polk HC Jr. Appendectomy for acute appendicitis. In Ballantyne GH, Leahy PF and Modlin IM, eds. Laparoscopic Surgery. Philadelphia: WB Saunders and Company; 1994:220.

Objective

• Sex

• Surgery lenght

• Days of hospitalization

Comparison between the methods, taking in consideration:

Material and Method

• retrospective study

• Department Chirurgie 2, Spitalul Clinic Județean de Urgență Tîrgu-Mureș

• January 2014- January 2015

• data: sex, surgery lenght (minutes), days of hospitalization, surgery method

72

Female(31)

L(23) C(8)

Male(41)

L(27) C(14)

Results:

Unpaired t test(p=0,002)

Surgery lenght(minutes)

Mann-Whitney statistical test(p=0,003)

Limitations of this study:

• Small number of cases• We only had the information from

the medical history

Conclusion

Disadvantages of laparoscopic appendectomy

• general anesthesia• gas embolism• risk of injury to the aorta • port-site hernias

http://www.jurnaluldechirurgie.ro/jurnal/docs/jurnal106/1apendfinal.pdf

Advantages of the laparoscopic appendectomy: Shorter operator time Shorter hospitalization Lesser post-operative complications More esthetical wound a faster recovery and return to a

normal activity reduced tissue trauma good exposure in obese patients

http://www.jurnaluldechirurgie.ro/jurnal/docs/jurnal106/1apendfinal.pdf