A Safe Laparoscopic Appendectomy in Relation to Preoperative Parameters: Our Experience

Milev, Ilija and Velikj Stefanovska, Vesna and Karagjozov, Panche and Mancheva, Ljubinka and Zendelska, Radmila (2018) A Safe Laparoscopic Appendectomy in Relation to Preoperative Parameters: Our Experience. Physioacta: Journal of Macedonian Association of Physiologists and Anthropologista, 12 (3). pp. 1-10. ISSN 1857-5587


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The safety of the laparoscopic appendectomy (LA) is in a close relation to the emergence of complications, intraoperative difficulties and the need for conversion. With preoperative determination of conditions related to the intraoperative difficulties, complications and the need for conversion, a strategy can be performed to improve the safety of the LA. The goal of this paper is to present the correlation between certain preoperative parameters and the possible endangerment of the safety of performing LA. This is a prospective clinical study including 63 participants who were subjected to LA, because of acute appendicitis. The cases were registered in the Clinical Hospital of Shtip and in the Clinic for Digestive Surgery in Skopje, in the period from 22.02.2016 until 16.01.2018. Strict and precisely determined inclusive and exclusive criteria were used. Preoperatively, certain clinical, laboratory, ultrasonography and computed-tomography parameters were determined. In all cases, LA was performed and the intraoperative difficulties, complications, early postoperative complications as well as the reasons for conversion were determined. The participants were divided in a group without complications and a group with difficulties, complications or conversion, and then, a descriptive and analytic comparison between the two groups was done. For a safe LA, one should paid close attention to the presence of comorbidities, long-standing symptomatology, the high values of CRP, the total bilirubin in the blood, as well as to the possibility of complicated appendicitis.

Item Type: Article
Subjects: Medical and Health Sciences > Clinical medicine
Divisions: Faculty of Medical Science
Depositing User: Ilija Milev
Date Deposited: 11 Sep 2019 06:48
Last Modified: 11 Sep 2019 06:48
URI: http://eprints.ugd.edu.mk/id/eprint/22299

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