Laparoskopik appendektomi açik girisimin güvenilir bir alternatifidir
Laparoscopic appendectomy is a reliable alternative for open procedure
Özet
Laparoskopik appendektomi güvenilirligini kanitlamis cerrahi tekniklerden biri haline gelmistir. Ancak açik appendektomi ile kiyaslanabilen avantaj ve dezavantajlar barindirmaktadir. Gereç ve yöntem: Klinigimizde laparoskopik ve açik yöntemle ameliyat edilmis 91 akut apandisit olgusu retrospektif olarak degerlendirildi. Bulgular: Olgularin 28’ine (%30.7) laparoskopik appendektomi, 63’üne (%69.3) açik appendektomi yapilmisti. Laparoskopik olarak isleme baslanan 2 (%6.6) olguda perforasyon ve anatomik problemler nedeni ile açiga geçilmisti. Ameliyat süresi, hastanede kalis süresi ve komplikasyonlar açi- sindan gruplar arasinda fark yoktu (p>0.05). Her iki grupta da birer hastada intraabdominal apse gelismisti. Sonuç: Laparoskopik appendektomi varsayilanin aksine postoperatif komplikasyon riskini arttirmamistir. Her yönü ile açik appendektominin güvenilir bir alternatifidir.
Abstract
Laparoscopic appendectomy has progressed to become a reliable surgical procedure in recent years. However, there are some pros and cons comparable with open appendectomy. Materials and methods: The results of 91 patients with acute appendicitis who were operated either with laparoscopic or open technique were retrospectively evaluated. Results: Laparoscopic appendectomy was performed in 28 (30.7%) patients, whereas 63 (69.3%) cases underwent open procedure. Two (6.6%) laparoscopic procedures were converted to open because of perforation and anatomical problems. The duration of operation, hospital stay, and rate of complications did not differ among groups (p>0.05). One patient in each group developed intraabdominal abscess. Conclusions: Laparoscopic appendectomy does not increase postoperative complications as previously speculated, and therefore is a reliable alternative for open appendectomy.
