BibTex RIS Kaynak Göster

Laparoscopic appendectomy is a reliable alternative for open procedure

Yıl 2007, Cilt: 6 Sayı: 1, 20 - 24, 01.04.2007

Öz

Laparoscopic appendectomy has progressed to become a reliable surgical procedure in recent years. However, there are some pros and cons comparable with open appendectomy. Materials and methods: The results of 91 patients with acute appendicitis who were operated either with laparoscopic or open technique were retrospectively evaluated. Results: Laparoscopic appendectomy was performed in 28 (30.7%) patients, whereas 63 (69.3%) cases underwent open procedure. Two (6.6%) laparoscopic procedures were converted to open because of perforation and anatomical problems. The duration of operation, hospital stay, and rate of complications did not differ among groups (p>0.05). One patient in each group developed intraabdominal abscess. Conclusions: Laparoscopic appendectomy does not increase postoperative complications as previously speculated, and therefore is a reliable alternative for open appendectomy.

Kaynakça

  • Mancini GJ, Mancini ML, Nelson HS Jr. Efficacy of laparoscopic ap- pendectomy in appendicitis with peritonitis. Am Surg 2005; 71: 1-4.
  • Roviaro GC, Vergani C, Varoli F, et al. Videolaparoscopic appen- dectomy: the current outlook. Surg Endosc 2006; 20: 1526-30.
  • Demirbaş S, Erenoğlu C, Atay V et al. Laparoskopik ve laparosko- pi yardımlı apendektomi ameliyatlarının erken dönem sonuçlarının karşılaştırılması. Endoskopik Laparoskopik & Minimal İnvaziv Cerrahi Dergisi 2004; 11: 70-75.
  • Sweeney KJ, Dillon M, Johnston SM, et al. Training in laparoscopic appendectomy. World J Surg 2006; 30: 358-63.
  • Welter HF, Wendland S. Laparoscopic appendectomy--a lot of effort for a minor operation? MMW Fortschr Med 2006; 148: 46-7.
  • Bedirli A, Sözüer M, Keçeli M, ve ark. Laparoskopik ve açık appen- dektominin karşılaştırılması. Endoskopik Laparoskopik & Minimal İnvaziv Cerrahi Dergisi 1999; 6: 222-6.
  • Pirro N, Berdah SV. Appendicitis: yes or no to laparoscopic appro- ach? J Chir (Paris) 2006; 143: 155-9.
  • Bresciani C, Perez RO, Habr-Gama A, et al. Laparoscopic versus standard appendectomy outcomes and cost comparisons in the pri- vate sector. J Gastrointest Surg 2005; 9: 1174-80.
  • Moore DE, Speroff T, Grogan E, et al. Cost perspectives of laparos- copic and open appendectomy. Surg Endosc 2005; 19: 374-8.
  • Ng WT, Lee YK, Hui SK, et al. An optimal, cost-effective laparosco- pic appendectomy technique for our surgical residents. Surg Lapa- rosc Endosc Percutan Tech 2004; 14: 125-9.
  • Nguyen NT, Zainabadi K, Mavandadi S, et al. Trends in utilization and outcomes of laparoscopic versus open appendectomy. Am J Surg 2004; 188: 813-20.
  • Carbonell AM, Burns JM, Lincourt, AE et al. Outcomes of laparos- copic versus open appendectomy. Am Surg 2004; 70: 759-65.
  • Katkhouda N, Mason RJ, Towfigh S, et al. Laparoscopic versus open appendectomy: a prospective randomized double-blind study. Ann Surg 2005; 242: 439-48.
  • Olmi S, Magnone S, Bertolini A, et al. Laparoscopic versus open ap- pendectomy in acute appendicitis: a randomized prospective study. Surg Endosc 2005; 19: 1193-5.
  • Chiu CC, Wei PL, Wang W, et al. Role of appendectomy in laparos- copic training. J Laparoendosc Adv Surg Tech A 2006; 16: 113-8.
  • Temple LK, Litwin DE, McLeod RS. A meta-analysis of laparosco- pic versus open appendectomy in patients suspected of having acu- te appendicitis. Can J Surg 1999; 42: 377-83.
  • Liu SI, Siewert B, Raptopoulos V, et al. Factors associated with con- version to laparotomy in patients undergoing laparoscopic appen- dectomy. J Am Coll Surg 2002; 194: 298-305.
  • Croce E, Olmi S, Azzola M, et al. Laparoscopic appendectomy and minilaparoscopic approach: a retrospective review after 8-years' experience. JSLS 1999; 3: 285-92.
  • Wu JM, Lin HF, Chen KH, et al. Impact of previous abdominal sur- gery on laparoscopic appendectomy for acute appendicitis. Surg Endosc 2007; 21: 570-3.
  • Berker B, Lashay N, Davarpanah R, et al. Laparoscopic appendec- tomy in patients with endometriosis. J Minim Invasive Gynecol 2005; 12: 206-9.
  • Harris RS, Foster WG, Surrey MW, et al. Appendiceal disease in women with endometriosis and right lower quadrant pain. J Am As- soc Gynecol Laparosc 2001; 8: 536-41.
  • AlSalilli M, Vilos GA. Prospective evaluation of laparoscopic ap- pendectomy in women with chronic right lower quadrant pain. J Am Assoc Gynecol Laparosc 1995; 2: 139-42.
  • Halkic N, Tempia-Caliera AA, Ksontini R, et al. Laparoscopic ma- nagement of appendicitis and symptomatic cholelithiasis during pregnancy. Langenbecks Arch Surg 2006; 391: 467-71.
  • de Perrot M, Jenny A, Morales M, et al. Laparoscopic appendec- tomy during pregnancy. Surg Laparosc Endosc Percutan Tech 2000; 10: 368-71.
  • Lam L, Acosta J. Abdominal pain after uncomplicated laparoscopic appendectomy. J Am Coll Surg 2007; 204: 177-8.
  • Martin LC, Puente I, Sosa JL, et al. Open versus laparoscopic ap- pendectomy. A prospective randomized comparison. Ann Surg 1995; 222: 256-61.
  • Krisher SL, Browne A, Dibbins A, et al. Intra-abdominal abscess af- ter laparoscopic appendectomy for perforated appendicitis. Arch Surg 2001; 136: 438-41.
  • Wullstein C, Barkhausen S, Gross E. Results of laparoscopic vs. conventional appendectomy in complicated appendicitis. Dis Colon Rectum 2001; 44: 1700-5.
  • Piskun G, Kozik D, Rajpal S, et al. Comparison of laparoscopic, open, and converted appendectomy for perforated appendicitis. Surg Endosc 2001; 15: 660-2.
  • Tang E, Ortega AE, Anthone GJ, et al. Intraabdominal abscesses following laparoscopic and open appendectomies. Surg Endosc 1996; 10: 327-8.
  • Kouwenhoven EA, Repelaer van Driel OJ, van Erp WF. Fear for the intraabdominal abscess after laparoscopic appendectomy: not re- alistic. Surg Endosc 2005; 19: 923-6.
  • So JB, Chiong EC, Chiong E, et al. Laparoscopic appendectomy for perforated appendicitis. World J Surg 2002; 26: 1485-8.
  • Wang YC, Yang HR, Chung PK, et al. Laparoscopic appendectomy in the elderly. Surg Endosc 2006. (internet yayın, yazılı metin baskı- da)
  • Fukami Y, Hasegawa H, Sakamoto E, et al. Value of laparoscopic appendectomy in perforated appendicitis. World J Surg 2007; 31: 93-7.
  • Zinaman MJ, Russell A, Sukhani R, et al. Laparoscopic appendec- tomy in an outpatient setting. J Am Assoc Gynecol Laparosc 2003; 10: 478-80.

Laparoskopik appendektomi açık girişimin güvenilir bir alternatifidir

Yıl 2007, Cilt: 6 Sayı: 1, 20 - 24, 01.04.2007

Öz

Giriş ve amaç: Laparoskopik appendektomi güvenilirliğini kanıtlamış cerrahi tekniklerden biri haline gelmiştir. Ancak açık appendektomi ile
kıyaslanabilen avantaj ve dezavantajlar barındırmaktadır. Gereç ve yöntem: Kliniğimizde laparoskopik ve açık yöntemle ameliyat edilmiş
91 akut apandisit olgusu retrospektif olarak değerlendirildi. Bulgular: Olguların 28’ine (%30.7) laparoskopik appendektomi, 63’üne (%69.3)
açık appendektomi yapılmıştı. Laparoskopik olarak işleme başlanan 2 (%6.6) olguda perforasyon ve anatomik problemler nedeni ile açığa geçilmişti. Ameliyat süresi, hastanede kalış süresi ve komplikasyonlar açısından gruplar arasında fark yoktu (p > 0.05). Her iki grupta da birer hastada intraabdominal apse gelişmişti. Sonuç: Laparoskopik appendektomi varsayılanın aksine postoperatif komplikasyon riskini arttırmamıştır.
Her yönü ile açık appendektominin güvenilir bir alternatifidir.

Kaynakça

  • Mancini GJ, Mancini ML, Nelson HS Jr. Efficacy of laparoscopic ap- pendectomy in appendicitis with peritonitis. Am Surg 2005; 71: 1-4.
  • Roviaro GC, Vergani C, Varoli F, et al. Videolaparoscopic appen- dectomy: the current outlook. Surg Endosc 2006; 20: 1526-30.
  • Demirbaş S, Erenoğlu C, Atay V et al. Laparoskopik ve laparosko- pi yardımlı apendektomi ameliyatlarının erken dönem sonuçlarının karşılaştırılması. Endoskopik Laparoskopik & Minimal İnvaziv Cerrahi Dergisi 2004; 11: 70-75.
  • Sweeney KJ, Dillon M, Johnston SM, et al. Training in laparoscopic appendectomy. World J Surg 2006; 30: 358-63.
  • Welter HF, Wendland S. Laparoscopic appendectomy--a lot of effort for a minor operation? MMW Fortschr Med 2006; 148: 46-7.
  • Bedirli A, Sözüer M, Keçeli M, ve ark. Laparoskopik ve açık appen- dektominin karşılaştırılması. Endoskopik Laparoskopik & Minimal İnvaziv Cerrahi Dergisi 1999; 6: 222-6.
  • Pirro N, Berdah SV. Appendicitis: yes or no to laparoscopic appro- ach? J Chir (Paris) 2006; 143: 155-9.
  • Bresciani C, Perez RO, Habr-Gama A, et al. Laparoscopic versus standard appendectomy outcomes and cost comparisons in the pri- vate sector. J Gastrointest Surg 2005; 9: 1174-80.
  • Moore DE, Speroff T, Grogan E, et al. Cost perspectives of laparos- copic and open appendectomy. Surg Endosc 2005; 19: 374-8.
  • Ng WT, Lee YK, Hui SK, et al. An optimal, cost-effective laparosco- pic appendectomy technique for our surgical residents. Surg Lapa- rosc Endosc Percutan Tech 2004; 14: 125-9.
  • Nguyen NT, Zainabadi K, Mavandadi S, et al. Trends in utilization and outcomes of laparoscopic versus open appendectomy. Am J Surg 2004; 188: 813-20.
  • Carbonell AM, Burns JM, Lincourt, AE et al. Outcomes of laparos- copic versus open appendectomy. Am Surg 2004; 70: 759-65.
  • Katkhouda N, Mason RJ, Towfigh S, et al. Laparoscopic versus open appendectomy: a prospective randomized double-blind study. Ann Surg 2005; 242: 439-48.
  • Olmi S, Magnone S, Bertolini A, et al. Laparoscopic versus open ap- pendectomy in acute appendicitis: a randomized prospective study. Surg Endosc 2005; 19: 1193-5.
  • Chiu CC, Wei PL, Wang W, et al. Role of appendectomy in laparos- copic training. J Laparoendosc Adv Surg Tech A 2006; 16: 113-8.
  • Temple LK, Litwin DE, McLeod RS. A meta-analysis of laparosco- pic versus open appendectomy in patients suspected of having acu- te appendicitis. Can J Surg 1999; 42: 377-83.
  • Liu SI, Siewert B, Raptopoulos V, et al. Factors associated with con- version to laparotomy in patients undergoing laparoscopic appen- dectomy. J Am Coll Surg 2002; 194: 298-305.
  • Croce E, Olmi S, Azzola M, et al. Laparoscopic appendectomy and minilaparoscopic approach: a retrospective review after 8-years' experience. JSLS 1999; 3: 285-92.
  • Wu JM, Lin HF, Chen KH, et al. Impact of previous abdominal sur- gery on laparoscopic appendectomy for acute appendicitis. Surg Endosc 2007; 21: 570-3.
  • Berker B, Lashay N, Davarpanah R, et al. Laparoscopic appendec- tomy in patients with endometriosis. J Minim Invasive Gynecol 2005; 12: 206-9.
  • Harris RS, Foster WG, Surrey MW, et al. Appendiceal disease in women with endometriosis and right lower quadrant pain. J Am As- soc Gynecol Laparosc 2001; 8: 536-41.
  • AlSalilli M, Vilos GA. Prospective evaluation of laparoscopic ap- pendectomy in women with chronic right lower quadrant pain. J Am Assoc Gynecol Laparosc 1995; 2: 139-42.
  • Halkic N, Tempia-Caliera AA, Ksontini R, et al. Laparoscopic ma- nagement of appendicitis and symptomatic cholelithiasis during pregnancy. Langenbecks Arch Surg 2006; 391: 467-71.
  • de Perrot M, Jenny A, Morales M, et al. Laparoscopic appendec- tomy during pregnancy. Surg Laparosc Endosc Percutan Tech 2000; 10: 368-71.
  • Lam L, Acosta J. Abdominal pain after uncomplicated laparoscopic appendectomy. J Am Coll Surg 2007; 204: 177-8.
  • Martin LC, Puente I, Sosa JL, et al. Open versus laparoscopic ap- pendectomy. A prospective randomized comparison. Ann Surg 1995; 222: 256-61.
  • Krisher SL, Browne A, Dibbins A, et al. Intra-abdominal abscess af- ter laparoscopic appendectomy for perforated appendicitis. Arch Surg 2001; 136: 438-41.
  • Wullstein C, Barkhausen S, Gross E. Results of laparoscopic vs. conventional appendectomy in complicated appendicitis. Dis Colon Rectum 2001; 44: 1700-5.
  • Piskun G, Kozik D, Rajpal S, et al. Comparison of laparoscopic, open, and converted appendectomy for perforated appendicitis. Surg Endosc 2001; 15: 660-2.
  • Tang E, Ortega AE, Anthone GJ, et al. Intraabdominal abscesses following laparoscopic and open appendectomies. Surg Endosc 1996; 10: 327-8.
  • Kouwenhoven EA, Repelaer van Driel OJ, van Erp WF. Fear for the intraabdominal abscess after laparoscopic appendectomy: not re- alistic. Surg Endosc 2005; 19: 923-6.
  • So JB, Chiong EC, Chiong E, et al. Laparoscopic appendectomy for perforated appendicitis. World J Surg 2002; 26: 1485-8.
  • Wang YC, Yang HR, Chung PK, et al. Laparoscopic appendectomy in the elderly. Surg Endosc 2006. (internet yayın, yazılı metin baskı- da)
  • Fukami Y, Hasegawa H, Sakamoto E, et al. Value of laparoscopic appendectomy in perforated appendicitis. World J Surg 2007; 31: 93-7.
  • Zinaman MJ, Russell A, Sukhani R, et al. Laparoscopic appendec- tomy in an outpatient setting. J Am Assoc Gynecol Laparosc 2003; 10: 478-80.
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Hakan Erpek Bu kişi benim

Nazmi Sayım Bu kişi benim

Pars Tunçyürek Bu kişi benim

Ahmet Ender Demirkıran Bu kişi benim

Hedef Özgün Bu kişi benim

Mehmet Hakan Çevikel Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2007
Yayımlandığı Sayı Yıl 2007 Cilt: 6 Sayı: 1

Kaynak Göster

APA Erpek, H., Sayım, N., Tunçyürek, P., Demirkıran, A. E., vd. (2007). Laparoskopik appendektomi açık girişimin güvenilir bir alternatifidir. Akademik Gastroenteroloji Dergisi, 6(1), 20-24.

test-5