Milev, Ilija and Velikj Stefanovska, Vesna and Karagjozov, Panche and Mancheva, Ljubinka and Zendelska, Radmila (2018) Utilization of Laparoscopic Appendectomy – A Three-year Experience. Physioacta: Journal of Macedonian Association of Physiologists and Anthropologista, 12 (1). pp. 47-57. ISSN 1857-5587
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Abstract
In spite of the fact that many of the studies give advantage to laparoscopic appendectomy (LA) opposite open appendectomy (OA), LA is still not recognized as the basic approach in the surgical treatment of acute appendicitis (AA) worldwide.
The goal of the study is to provide some conclusions that could be useful in the successful implementation of LA by overviewing the utilization of this surgical procedure for a period of three years.
The study is conducted on the Clinic for Digestive Surgery in Skopje, where 361 patients with AA were operated in the period from 1 January 2012 till 31 December 2014. A comparison was made between OA, LA and the cases with conversion by using the exact chosen parameters. The statistic processing showed which parameters significantly influence the chose for the operative approach and the chose for conversion.
Taking into account the recent recommendations regarding the indications and contraindications for LA, the utilization of LA was selective and it referred to a limited number of younger patients, predominantly females, without comorbidities, mostly with American Society of Anesthesiologists' (ASA) score IE or IIE and with less advanced stage of appendicitis. The results regarding weather this approach is safe are excellent and in accordance with the results from the worldwide literature.
| Item Type: | Article |
|---|---|
| Subjects: | Medical and Health Sciences > Clinical medicine |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Ilija Milev |
| Date Deposited: | 11 Sep 2019 06:47 |
| Last Modified: | 11 Sep 2019 06:47 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/22298 |
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