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Laparoscopic appendectomy: prospective study of 300 cases

BACKGROUND: Appendectomy is the chosen treatment for patients with acute appendicitis and laparoscopic approach for these cases is an option to have in mind. AIM: To analyze the clinical aspects, technical results and the evolution during and after the operation in 300 cases of laparoscopic appendectomy. METHODS: All the patients with diagnosed appendicitis were submitted to laparoscopic appendectomy on Beneficencia Nipo-Brasileira Hospital of Amazon, between 2000 (august) and 2008 (july), using a specific protocol. RESULTS: There was a predominance in teen and young adults, male sex, having a classic clinical finding of acute appendicitis in 65,44% of the cases, leucocytosis in 84,29% and by anatomic pelvic site of vermiform appendix in 84,29. The mean time taken by the operation was 55 minutes with a conversion rate of 7,1%. In hospital period was 48,5 hours with 5 days to return to normal activities. CONCLUSION: The laparoscopic appendectomy can be useful in male and female, at any age, in all the phases of acute appendicitis and in all anatomic sites of vermiform appendix.

Appendicitis; Appendectomy; Videosurgery


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