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The “BASE-FIRST” technique in laparoscopic appendectomy
BACKGROUND: Appendicitis is the most common cause of acute abdomen, and appendectomy is the most frequent surgical procedure performed in the world. In recent times, laparoscopic appendectomy has been gaining increasing consensus, although comparison with traditional open surgery is still debated. R...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3267335/ https://www.ncbi.nlm.nih.gov/pubmed/22303081 http://dx.doi.org/10.4103/0972-9941.91772 |
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author | Piccinni, Giuseppe Sciusco, Andrea Gurrado, Angela Lissidini, Germana Testini, Mario |
author_facet | Piccinni, Giuseppe Sciusco, Andrea Gurrado, Angela Lissidini, Germana Testini, Mario |
author_sort | Piccinni, Giuseppe |
collection | PubMed |
description | BACKGROUND: Appendicitis is the most common cause of acute abdomen, and appendectomy is the most frequent surgical procedure performed in the world. In recent times, laparoscopic appendectomy has been gaining increasing consensus, although comparison with traditional open surgery is still debated. Recent reports seem to agree in recognizing laparoscopy as the favourable approach in cases of non-complicated appendicitis, in women and in obese patients. The use of a linear stapler to close the appendiceal stump also seems to guarantee a dramatic decrease of complications and this observation could be the rationale for considering the laparoscopic approach to also be safe in complicated appendicitis. In these cases, dissection of the mesoappendix and isolation of the viscum could be very difficult and could cause complications. By proposing this technique using a laparoscopic approach, we try to permit a simple and safe section of the appendix leaving the detachment from vessels and from the neighbourhood to a second moment. MATERIALS AND METHODS: We report our initial experience including the first 50 cases and proposing our personal technique of laparoscopic appendectomy. RESULTS AND CONCLUSION: We recorded only one intraoperative haemorrhage, one bladder perforation due to trocar insertion and no conversion. Our goal is to standardize and simplify the laparoscopic approach in order to give any surgeon, even non-expert ones, a simple way to remove the viscum especially in complicated pictures. |
format | Online Article Text |
id | pubmed-3267335 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-32673352012-02-02 The “BASE-FIRST” technique in laparoscopic appendectomy Piccinni, Giuseppe Sciusco, Andrea Gurrado, Angela Lissidini, Germana Testini, Mario J Minim Access Surg Original Article BACKGROUND: Appendicitis is the most common cause of acute abdomen, and appendectomy is the most frequent surgical procedure performed in the world. In recent times, laparoscopic appendectomy has been gaining increasing consensus, although comparison with traditional open surgery is still debated. Recent reports seem to agree in recognizing laparoscopy as the favourable approach in cases of non-complicated appendicitis, in women and in obese patients. The use of a linear stapler to close the appendiceal stump also seems to guarantee a dramatic decrease of complications and this observation could be the rationale for considering the laparoscopic approach to also be safe in complicated appendicitis. In these cases, dissection of the mesoappendix and isolation of the viscum could be very difficult and could cause complications. By proposing this technique using a laparoscopic approach, we try to permit a simple and safe section of the appendix leaving the detachment from vessels and from the neighbourhood to a second moment. MATERIALS AND METHODS: We report our initial experience including the first 50 cases and proposing our personal technique of laparoscopic appendectomy. RESULTS AND CONCLUSION: We recorded only one intraoperative haemorrhage, one bladder perforation due to trocar insertion and no conversion. Our goal is to standardize and simplify the laparoscopic approach in order to give any surgeon, even non-expert ones, a simple way to remove the viscum especially in complicated pictures. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3267335/ /pubmed/22303081 http://dx.doi.org/10.4103/0972-9941.91772 Text en Copyright: © Journal of Minimal Access Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Piccinni, Giuseppe Sciusco, Andrea Gurrado, Angela Lissidini, Germana Testini, Mario The “BASE-FIRST” technique in laparoscopic appendectomy |
title | The “BASE-FIRST” technique in laparoscopic appendectomy |
title_full | The “BASE-FIRST” technique in laparoscopic appendectomy |
title_fullStr | The “BASE-FIRST” technique in laparoscopic appendectomy |
title_full_unstemmed | The “BASE-FIRST” technique in laparoscopic appendectomy |
title_short | The “BASE-FIRST” technique in laparoscopic appendectomy |
title_sort | “base-first” technique in laparoscopic appendectomy |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3267335/ https://www.ncbi.nlm.nih.gov/pubmed/22303081 http://dx.doi.org/10.4103/0972-9941.91772 |
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