title: Three port laparoscopic appendectomy technique with low cost and aesthetic advantage.
abstract: BACKGROUND
  Despite dating more than 30 years after the first laparoscopic appendectomy, ileocecal appendix resection is still performed by laparotomy in more than 90% of cases, in our country.
  
  
  OBJECTIVE
  To describe a technique for laparoscopic removal of the ileocecal appendix with three portals, at low cost and very good aesthetic appearance.
  
  
  METHODS
  Three incisions, one umbilical and two suprapubic are made; permanent material used comprises: grasping forceps, hook, scissors, needle holders, three metal trocars and four other usual instruments, and a single strand of cotton. There is no need to use of operative extractors bags, clips, endoloops, staples or bipolar or harmonic energy instruments. Allows triangulation and instrumentation in the conventional manner.
  
  
  CONCLUSIONS
  The proposed technique is safe and reproducible, easily teachable, at very low cost and can be applied in general hospitals with conventional laparoscopic equipment.
authors.affiliation: Núcleo Unificado de Tratamento do Obeso, São Paulo, SP, Brazil.
authors.forename: Carlos Eduardo
authors.initials: CE
authors.lastname: Domene
authors.affiliation: Núcleo Unificado de Tratamento do Obeso, São Paulo, SP, Brazil.
authors.forename: Paula
authors.initials: P
authors.lastname: Volpe
authors.affiliation: Núcleo Unificado de Tratamento do Obeso, São Paulo, SP, Brazil.
authors.forename: Frederico Almeida
authors.initials: FA
authors.lastname: Heitor
mesh_terms: D001062:Appendectomy / Q000191:economics* / Q000379:methods*; D003365:Costs and Cost Analysis; D004954:Esthetics; D006801:Humans; D010535:Laparoscopy / Q000191:economics* / Q000295:instrumentation*