Abstract

GONZALVEZ BERTOT, Jaime; KASSOUM DJIRE, Mohamed; PACO LUNA, Hernán  and  DIAZ STEVVAR, Mirlen. Characterization of children treated with videolaparoscopic appendicectomy of single incision. MEDISAN [online]. 2014, vol.18, n.12, pp.1693-1700. ISSN 1029-3019.

Introduction: the minimal access surgery has continued to develop in the last decade searching the least invasiveness. In this respect, the single incision surgery has contributed with an intermediate point for the development of minimally invasive surgical procedures, to achieve a smaller damage to the abdominal wall. Objective: to characterize children surgically treated with this technique. Methods: a descriptive, cross sectional and retrospective study of 41 patients with acute appendicitis or appendicular plastron, treated with videolaparoscopic appendicectomy through single incision was carried out in the Surgery Service of the Southern Teaching Pediatric Hospital in Santiago de Cuba, from May, 2012 to April, 2013. Results: most of the patients were in the age group 11-14 year (46.3%) and of the female sex (61.0%). Likewise, the non complicated appendicitis (85.3%), followed by the complicated appendicitis (9.8%), and the surgical time between 10 and 20 minutes (65.9%) prevailed; as long as, a high percentage (73.1) of the patients remained 24 hours or less in the institution. There were only 2 complications and no death. Conclusions: the appendicectomy through single hole in the child is a feasible therapeutic option in the Cuban pediatric hospitals, which implies few complications and a short hospital stay

Keywords : children; acute appendicitis; videolaparoscopic appendicectomy; single incision; pediatric hospitals.

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