Laparoskopik Apendektomi Deneyimimiz 132 Olgu


Tümay L. V. , Güner O. S. , Zorluoğlu A.

Türk Kolon ve Rektum Hastalıkları Dergisi, cilt.20, ss.115-120, 2010 (Diğer Kurumların Hakemli Dergileri)

  • Cilt numarası: 20
  • Basım Tarihi: 2010
  • Dergi Adı: Türk Kolon ve Rektum Hastalıkları Dergisi
  • Sayfa Sayısı: ss.115-120

Özet

Purpose: Retrospective analysis of laparoscopic appendectomies in our institution for clinical approach, diagnostic methods and pathology results. We didn’t aim to compare open appendectomy to laparoscopic procedure. Material ve Methods: Laparoscopic appendectomies performed in our institution between March 2006 and April 2008 were examined for demographic characteristics, preoperative observation time, preoperative white blood cell count, ultrasound and abdominal CT findings, operative time, conversion rate to open procedure, length of hospital stay, pathological results, wound infection, development of intraabdominal abscess, and long term follow up results. Results: There were total of 132 laparoscopic appendectomies during this period. Male -female ratios and demographic results were all similar. Mean age of perforated appendicitis was significantly higher than that of the normal appendix cases. The lengths of the preoperative observation times, operation times and hospitalization times were all remarkably high, but statistically not significant, compared to the normal appendix cases. Average WBC counts of perforated and acute appendicitis cases were significantly higher than normal appendix cases. The diagnostic sensitivities of USG and CT scans were both high, but their specificities were low. In our series there were no major complications or intraabdominal abscesses. Conclusion: Laparoscopic appendectomy is a safe and short operation with minimal complications, short hospital stay, and it may be used in perforated appendicitis as well. Communication and feedback to radiologists may improve diagnostic accuracy of USG and abdominal CT. WBC counts are still essential and important. Uncertain cases should be observed for longer periods, especially young females.