J Minim Invasive Surg 1998; 1(2): 69-77

Published online December 20, 1998

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

충수염의증에서 동일 피부절재를 이용한 진단적 복강경 검사와 미세침습적 충수절제술

서해현, 김영복

서남대학교 의과대학 외과학교실

A Minimally Invasive Technique of Diagnostic Laparoscopy and Appendectomy Using a Minimal Skin Incision in Suspected Appendicitis

Hae Hyeon Suh, M.D., Young Bok Kim, M.D.

Department of Surgery, Seonam University, College of Medicine, Kwangju, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

To take advantage of Laparoscopic procedure, a new minimally invastive technique of diagnostic laparoscopy and appendectomy using a minimal right lower abdominal incision in suspected appendicitis is presented. In 39 patients diagnostic laparoscopy was performed through a minimal skin incision (microceliotomy) in the right lower abdomen, 1.5 to 2.0cm in lenght, to differentiate other intraperitoneal pathology. Laparoscopic diagnosis revealed one false negative. But there was no false positive.

After diagnosis, appendectomy was performed using conventional surgical instruments under direct vision through the previous skin incision. Among these 39, we excluded 9 patients who underwent surgical operations of associated diseases. Pathologic findings of appendix were: two normal, thirteen catarrhal, ten suppurative and five gangrenous types. The mean operation time was 30.7 min. The mean frequency of postoperative analgesic requirement (nalbuphine 0.2 mg/kg) was 0.9 times. The mean hospital stay was 4.1 days and the duration to return to the full social activities was 7.6 days. There was no mortality or morbidity. This technique of appendectomy is a useful method for minimizing the postoperative paing and operative scar, thus enabling the patient an early return to full social activity.

Keywords Laparoscopy, Acute Appendicitis, Appendectomy, Microceliotomy, Diagnostic Laparoscopy

Article

J Minim Invasive Surg 1998; 1(2): 69-77

Published online December 20, 1998

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

충수염의증에서 동일 피부절재를 이용한 진단적 복강경 검사와 미세침습적 충수절제술

서해현, 김영복

서남대학교 의과대학 외과학교실

A Minimally Invasive Technique of Diagnostic Laparoscopy and Appendectomy Using a Minimal Skin Incision in Suspected Appendicitis

Hae Hyeon Suh, M.D., Young Bok Kim, M.D.

Department of Surgery, Seonam University, College of Medicine, Kwangju, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

To take advantage of Laparoscopic procedure, a new minimally invastive technique of diagnostic laparoscopy and appendectomy using a minimal right lower abdominal incision in suspected appendicitis is presented. In 39 patients diagnostic laparoscopy was performed through a minimal skin incision (microceliotomy) in the right lower abdomen, 1.5 to 2.0cm in lenght, to differentiate other intraperitoneal pathology. Laparoscopic diagnosis revealed one false negative. But there was no false positive.

After diagnosis, appendectomy was performed using conventional surgical instruments under direct vision through the previous skin incision. Among these 39, we excluded 9 patients who underwent surgical operations of associated diseases. Pathologic findings of appendix were: two normal, thirteen catarrhal, ten suppurative and five gangrenous types. The mean operation time was 30.7 min. The mean frequency of postoperative analgesic requirement (nalbuphine 0.2 mg/kg) was 0.9 times. The mean hospital stay was 4.1 days and the duration to return to the full social activities was 7.6 days. There was no mortality or morbidity. This technique of appendectomy is a useful method for minimizing the postoperative paing and operative scar, thus enabling the patient an early return to full social activity.

Keywords: Laparoscopy, Acute Appendicitis, Appendectomy, Microceliotomy, Diagnostic Laparoscopy

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