Abstract

DEULOFEU BETANCOURT, Benjamín et al. Characterization of patients operated by means of videolaparoscopic appendicectomy due to acute appendicitis. MEDISAN [online]. 2014, vol.18, n.12, pp.1661-1670. ISSN 1029-3019.

A descriptive, observational and longitudinal study of 478 patient discharged with the histopathological diagnosis of acute appendicitis who had been operated by means of videolaparoscopic appendicectomy, in the General Surgery Service of "Saturnino Lora Torres" Teaching Provincial Clinical Surgical Hospital in Santiago de Cuba was carried out during the five year period 2008-2012, aimed at identifying the particularities of this surgery type. The 21-30 years males, classified as ASA 2, according to the preoperative physical examination, the festered appendicitis as histopathological diagnosis, the clinical course between 24-48 hours, the surgical time 30-60 minutes and the average of hospital stay 4,6 days prevailed in the series. The most frequent postoperative complications turned out to be the infections of the surgical site and the intraabdominal abscesses. The conversion index was 5.7% and there were no deaths. The systematic videolaparoscopic surgery is a save procedure in patients with acute appendicitis in any phase of the clinical course during the morbid process, with scarce postoperative morbidity and short hospital stay

Keywords : acute abdomen; appendicitis; appendicectomy; surgical treatment; conventional surgery; videolaparoscopic surgery; emergency medical service; secondary health care.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )