Endoscopic appendectomy in childhood--technical aspects.
Since March 1992 we initially performed 87 laparoscopic appendectomies applying two cat-gut loops for ligation of the stump. Since we postoperatively found abscess formation twice, we modified the technique in the following aspects: After the introduction of the scope at the umbilicus, 2 working trocars with a diameter of a 5 mm are placed in the left lower quadrant of the abdomen, so that the surgeon can skeletonize the appendix bimanually until it can be dissected with an Endo-GIA. This procedure we carried out in 41 cases and did not see any postoperative complications yet. Thus we consider it an appropriate alternative to conventional surgery.
Kellnar
S
S
Kinderchirurgische Klinik, Universität München, Germany.
Trammer
A
A
Till
H
H
Lochbühler
H
H
D000293:Adolescent; D001062:Appendectomy / Q000295:instrumentation*; D001064:Appendicitis / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004867:Equipment Design; D006801:Humans; D007223:Infant; D020706:Laparoscopes; D013528:Surgical Staplers; D013536:Suture Techniques / Q000295:instrumentation