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- Title
Mini-laparoscopic appendectomy using a needle loop retractor offers optimal cosmetic results.
- Authors
Sato, N; Kojika, M; Yaegashi, Y; Suzuki, Y; Kitamura, M; Endo, S; Saito, K
- Abstract
<bold>Background: </bold>Do conventional laparoscopic appendectomy (LA) techniques provide truly satisfying results for patients and surgeons? We have devised a more advanced technique that improves cosmesis.<bold>Methods: </bold>A 2-mm scope is inserted at the umbilicus, and a 12-mm working trocar is inserted through a suprapubic incision placed below the line of pubic hair. A needle loop retractor (NLR) is inserted to hold the appendix in the lower right abdomen. In this NLR, a stainless steel wire is placed within a needle having a diameter of 2 mm. From the suprapubic trocar, a bipolar coagulator is inserted to transect the appendiceal mesentery. A series of 30 patients underwent this procedure.<bold>Results: </bold>There were no conversions to laparotomy and no intra- or postoperative complications.<bold>Conclusions: </bold>Laparoscopic appendectomy using a 2-mm scope, suprapubic trocar, and an NLR yields optimal cosmetic results. For surgeons, the NLR allows the appendix to be held more firmly than then a 5- or 2-mm grasping forceps is used.
- Subjects
SCARS; AESTHETICS; APPENDECTOMY; APPENDICITIS; CLINICAL trials; COMPARATIVE studies; ENDOSCOPES; HYPODERMIC needles; LAPAROSCOPY; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; RESEARCH; PRODUCT design; EVALUATION research; EQUIPMENT &; supplies; PREVENTION
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2004, Vol 18, Issue 11, p1578
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-003-8248-0