Our Summary

This research paper explores the safety and cost effectiveness of a method of removing the appendix called the “transumbilical extracorporeal laparoscopic-assisted appendectomy technique.” The study looked at cases of acute appendicitis (not cases where the appendix had burst) from 2014 to 2016.

The researchers divided the cases into two groups: those where the appendix was removed through the belly button (transumbilical or TU) and those where three small incisions were made in the abdomen (laparoscopic 3-port or L3P).

The results showed that the TU technique was faster, patients spent less time in the hospital, and it was cheaper than the L3P technique. There were no complications or readmissions in either group.

In conclusion, the TU technique was not only as safe as the L3P technique, but it also offered the benefits of a less invasive procedure, shorter hospital stay, and lower cost.

FAQs

  1. What is the “transumbilical extracorporeal laparoscopic-assisted appendectomy technique”?
  2. How does the transumbilical (TU) appendectomy technique compare with the laparoscopic 3-port (L3P) technique in terms of speed, hospital stay, cost, and safety?
  3. Were there any complications or readmissions noted in the study for either the TU or L3P appendectomy techniques?

Doctor’s Tip

A doctor might tell a patient that a laparoscopic appendectomy, specifically using the transumbilical extracorporeal laparoscopic-assisted technique, is a safe and cost-effective option for removing the appendix. This technique is minimally invasive, resulting in faster recovery times, shorter hospital stays, and lower costs compared to traditional laparoscopic methods. It is important to follow post-operative care instructions and attend follow-up appointments to ensure a smooth recovery.

Suitable For

Patients who are typically recommended for laparoscopic appendectomy include those with uncomplicated acute appendicitis, meaning the appendix has not burst. These patients can benefit from the less invasive nature of the laparoscopic procedure, which leads to shorter recovery times and reduced post-operative pain. Additionally, patients who are in good overall health and do not have any contraindications to surgery are good candidates for laparoscopic appendectomy.

Timeline

Before the laparoscopic appendectomy:

  1. Patient experiences symptoms of appendicitis such as abdominal pain, nausea, and fever.
  2. Patient goes to the hospital or doctor’s office for evaluation and diagnosis.
  3. Imaging tests are performed to confirm appendicitis.
  4. Surgery is scheduled for removal of the appendix.

After the laparoscopic appendectomy:

  1. Patient undergoes the laparoscopic appendectomy procedure, either through the belly button (TU) or with three small incisions in the abdomen (L3P).
  2. Patient spends less time in the hospital compared to traditional open surgery.
  3. Patient experiences faster recovery and less postoperative pain.
  4. Patient may return to normal activities sooner.
  5. Patient incisions heal quickly and leave minimal scarring.
  6. Patient experiences no complications or readmissions.
  7. Patient benefits from the cost effectiveness of the laparoscopic procedure compared to traditional open surgery.

What to Ask Your Doctor

  1. Is laparoscopic appendectomy the best option for me compared to open surgery?
  2. What are the potential risks and complications associated with laparoscopic appendectomy?
  3. How long is the recovery time following a laparoscopic appendectomy?
  4. Will I have any scarring after the procedure?
  5. What is the success rate of laparoscopic appendectomy in treating appendicitis?
  6. What type of anesthesia will be used during the procedure?
  7. How many laparoscopic appendectomies have you performed and what is your success rate?
  8. Are there any specific pre-operative instructions I should follow before the procedure?
  9. Will I need any follow-up appointments after the surgery?
  10. Are there any lifestyle changes I should make post-surgery to aid in my recovery?

Reference

Authors: Perea L, Peranteau WH, Laje P. Journal: J Pediatr Surg. 2018 Feb;53(2):256-259. doi: 10.1016/j.jpedsurg.2017.11.012. Epub 2017 Nov 13. PMID: 29223668