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Laparoscopic apendectomy, advantages on the open surgery Antecedents: In 1983 Semm reported the first laparoscopic apendicetomy. Schreiber carried out in 1987 the first laparoscopic apendicetomy for acute appendicitis. They have passed more than 10a and the laparoscopic apendicectomy and not had the impact neither and the acceptance that the laparoscopic colecistectomy. Objective: To Compare the open procedures against the laparoscopics in sharp appendicitis and to determine the advantages of this finish in our four year-old experience. Design: Study retrospective, tranverse, observational, comparative in private patients in Hospital of 3 level of attention. Patient and methods: 17 patients were compared which are practiced laparoscopic apendectomy against 22 patients for open surgery. The surgical technique in the laparoscopic was with introduction of the first port without verres needle and without pnenumoperitoneo for the camera and 2 accessory ports: one suprapubic and another subcostal right online half supraclavicular, the dissection mesoapendicular was with the harmonic scalpel and in some cases one carries out the clipadura of the apendicular artery. The Apendectomy was type Pouchet with suture endoluminal, and the extraction of the piece in some cases through one of the trocars or in endo bag. In the open technique you uses as boarding road Mcburney, Rocky-Davis and line half infraumbilical, with technique of Halsted for apendicectomy.

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2004-04-19   |   1,021 visitas   |   1 valoraciones

Vol. 5 Núm.1. Febrero 2004 Pags. 77-97 Rev Mex Cir Endoscop 2004; Supl.(1)