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...
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Wolters Kluwer Medknow Publications
2012-01-01
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doaj-7bab24a57dca416496cc573788b2dcd32020-11-24T23:02:34ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212012-01-01816810.4103/0972-9941.91772The "BASE-FIRST" technique in laparoscopic appendectomyGiuseppe PiccinniAndrea SciuscoAngela GurradoGermana LissidiniMario TestiniBackground: 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.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2012;volume=8;issue=1;spage=6;epage=8;aulast=PiccinniAppendicitisendoscopic staplerlaparoscopy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Giuseppe Piccinni Andrea Sciusco Angela Gurrado Germana Lissidini Mario Testini |
spellingShingle |
Giuseppe Piccinni Andrea Sciusco Angela Gurrado Germana Lissidini Mario Testini The "BASE-FIRST" technique in laparoscopic appendectomy Journal of Minimal Access Surgery Appendicitis endoscopic stapler laparoscopy |
author_facet |
Giuseppe Piccinni Andrea Sciusco Angela Gurrado Germana Lissidini Mario Testini |
author_sort |
Giuseppe Piccinni |
title |
The "BASE-FIRST" technique in laparoscopic appendectomy |
title_short |
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_sort |
"base-first" technique in laparoscopic appendectomy |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Minimal Access Surgery |
issn |
0972-9941 1998-3921 |
publishDate |
2012-01-01 |
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. |
topic |
Appendicitis endoscopic stapler laparoscopy |
url |
http://www.journalofmas.com/article.asp?issn=0972-9941;year=2012;volume=8;issue=1;spage=6;epage=8;aulast=Piccinni |
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