Abstract

GALLOSO CUETO, Gilberto L; LANTIGUA GODOY, Abel; ALFONSO MOYA, Oriol  and  SANCHEZ MAYA, Ángel Y. Laparoscopic surgery in acute appendicitis. Rev. Med. Electrón. [online]. 2011, vol.33, n.2, pp.133-139. ISSN 1684-1824.

Acute appendicitis as an entity inside the acute abdomen is still one of the main causes of emergency surgical intervention in the surgical services. It can be done with video-laparoscopic surgery, showing this procedure important advances during the last years. Objective: analyzing the results of the video-laparoscopic surgery in treating acute appendicitis. Methods: cross-sectional descriptive study. Context: Emergency Service of the Teaching Military Hospital Dr. Mario Muñoz Monroy. Universe: 38 patients operated by video-laparoscopic surgery in the period from January 2000 to June 2009. Variables: Genre, age, surgical time, diseases conditioning surgical risk, records of previous operations, more frequent complications, kind of operation, conversion causes, hospital staying, and patient's status when discharging. Main results: the most affected genre was the male one (65,7 %); the average age was 34 years; the average surgical time was 35 minutes; the main disease causing risk was the arterial hypertension; 84 % of the patients did not have records of previous operations on the abdomen; there were post-surgery complications in 5,6 %; conversion index was 2,8 %; 94,7 % of the patients had a hospital staying of less than 24 hours; there were no deceases; and in 98% of the operated patients there was pathological clinical correlation.

Keywords : appendicitis; laparoscopy; appendectomy; emergency medical services.

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