COMPARATIVE ASSESSMENT OF EFFECTIVENESS OF LAPAROSCOPIC AND LAPAROSCOPY-ASSISTED APPENDECTOMY


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Abstract

Results of treating 367 patients with acute appendicitis were analysed in a cohort study: 151 laparoscopic appendectomy with clipping the stump of appendix, and 216 laparoscopy-assisted appendectomies with miniaccess. The laparoscopic variant of appendectomy is more preferable due to the absence of wound complications. In patients who underwent laparoscopy-assisted appendectomy wound complications developed in 5 % of observed cases. After laparoscopy in 3,9 % of cases intraabdominal complications were noted. Relaparoscopy was performed in 1,3 % of patients after laparoscopy. Incompetence of appendix stump after laparoscopy was noted in 1,3 % of cases, which required repeat surgery.

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Copyright (c) 2011 Beburishvili A.G., Panin S.I., Burchuladze N.S., Nesterov S.S., Onshin N.N.

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