title: [Celioscopic appendectomy. Results in 137 consecutive patients].
abstract: Between September 1990 and August 1992, laparoscopic appendicectomy was attempted in 137 patients: 98 females and 39 males (sex-ratio: 2.5:1) with a mean age of 31 years (range: 15-85). The patients were operated on by 9 surgeons. Laparoscopic appendicectomy was possible in 120 patients (87.6%). In 19 patients the procedure was converted into open surgery. The main causes of unsuccessful laparoscopic procedures were: retrocaecal appendix (n = 5) and injury of appendiceal artery (n = 4). The rate of unsuccessful procedures was 31% in retrocaecal appendix and 9.4% in the other cases (P < 0.02). In exclusively laparoscopic procedures, the mean operating time was 63 (2.9) minutes. It was 49 (3) minutes for experienced surgeons and 69 (3.3) for other surgeons (P < 0.05). Histological examination of the appendix revealed inflammatory signs in 97 specimens (71%). There were no wound infections after successful laparoscopic appedicectomy. One female patient developed an abscess in the pouch of Douglas. The median postoperative hospital stay was 3 days (range: 1-16). These results suggest that laparoscopic appendicectomy is a safe technique, with low morbidity allowing short postoperative hospital stay.
authors.affiliation: Service de Chirurgie Générale et Digestive, Hôpital Broussais, Paris.
authors.forename: J L
authors.initials: JL
authors.lastname: Bouillot
authors.forename: D
authors.initials: D
authors.lastname: Mariette
authors.forename: S
authors.initials: S
authors.lastname: Baccot
authors.forename: S
authors.initials: S
authors.lastname: Salah
authors.forename: M A
authors.initials: MA
authors.lastname: Canel
authors.forename: J H
authors.initials: JH
authors.lastname: Alexandre
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001062:Appendectomy / Q000379:methods*; D001064:Appendicitis / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications
vernacular_title: Appendicectomie coelioscopique. Résultats chez 137 malades consécutifs.