Laparoscopic appendectomy in children performed using single endoscopic GIA stapler for both mesoappendix and base of appendix.

Abstract:

BACKGROUND/PURPOSE:Similar to open appendectomy (OA), most of the methods described for laparoscopic appendectomy (LA) require two steps: (1) dissection and division of mesoappendix and (2) excision of appendix. Dissection of mesoappendix requires more skill and experience during LA. In single endoscopic GIA stapler laparoscopic appendectomy technique (SESLAT), both mesoappendix and base of appendix may be divided in one step with the application of a single endoscopic GIA stapler. METHODS:LA was attempted in 18 patients who had acute appendicitis and was successfully performed in 16 patients. RESULTS:In two patients, the operation was converted to OA. The authors did not need conversion to OA because of complication resulting from the use of the stapler. CONCLUSIONS:SESLAT is a quick, easy, and versatile method for LA in children that obviates dissection of mesoappendix and related complications. Thus, it enables LA to be performed by inexperienced beginners.

journal_name

J Pediatr Surg

authors

Olguner M,Akgür FM,Uçan B,Aktuğ T

doi

10.1016/s0022-3468(98)90004-5

subject

Has Abstract

pub_date

1998-09-01 00:00:00

pages

1347-9

issue

9

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(98)90004-5

journal_volume

33

pub_type

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