Author/Editor		Breznikar, Brane
Title		Laparoskopske apendektomije v SB Slovenj Gradec
Translated title		Laparoscopic appendectomies in the Slovenj Gradec general hospital
Type		članek
Source		Endoskopska revija
Vol. and No.		Letnik 10, št. 24
Publication year		2005
Volume		str. 123-7
Language		slo
Abstract		Background. The paper present the development of laparoscopic appendectomy at the Department of General and Abdominal Surgery of the Slovenj Gradec General Hospital over the past six years. During this period the repertoire of laparoscopic surgical procedures was extended to include laparoscopic appendectomy. Patients and methods. The study involved 64 patients undergoing laparoscopic-assisted and laparoscopic appendectomy. The procedure is simple and, in typical cases, cheaper than conventional surgery. Nondisposable trocars are used and a single suture is usually employed for two ligatures, which are mostly accomplished extracorporeally. In very thin children, a 5-mm disposable trocar is used. Results. Of the 64 patients admitted with appendicitis, seven presented with a perforated appendix. Laparoscopic revision and lavage were done in one female patient only. There were intraabdominal abscesses, and none of the patients died. Conclusion. Laparoscopic appendectomy has not yet become generally accepted as a standard procedure in patients with appendicitis. Some surgeons use laparoscopic approach in selected patients only, or, in cases of severe inflammation, convert to open procedure. The author completed all appendectomies laparoscopically.
Summary		Izhodišča. Članek prikazuje razvoj in postopke laparoskopske apendektomije na Oddelku za splošno in abdominalno kirurgijo Splošne bolnišnice Slovenj Gradec v zadnjih šestih letih. To je obdobje, ko smo začeli širiti program laparoskopskih operativnih posegov, med katerimi so tudi laparoskopske apendektomije. Bolniki in metode. V študijo smo zajeli 64 bolnikov, operiranih po asistirano laparoskopski ali laparoskopski metodi. Poseg je enostaven in v tipičnem primeru cenejši od klasičnega, saj uporabljamo troakarje za večkratno uporabo, porabimo pa le eno nit za dve ligaturi, ki ju naredimo največkrat zunaj trebušne votline. Le pri zelo suhih otrocih uporabimo 5-milimetrski troakar za enkratno uporabo. Rezultati. Od 64 bolnikov z vnetjem slepiča je bil ob sprejemu v bolnišnico pri 7 bolnikih slepič že predrt. Samo pri eni bolnici je bila opravljena laparoskopska revizija s toaleto trebušne votline. Abscesov v trebuhu pri naših bolnikih ni bilo. Umrl ni noben bolnik. Zaključek. Večina kirurgov v svetu in pri nas se ne odloča za laparoskopsko zdravljenje bolnikov z vnetjem slepiča. Nekateri bolnike izbirajo, pri močnejših vnetjih pa se odločajo za preklop v klasičen poseg. Avtor prispevka je v vseh primerih apendektomije zaključil po laparoskopski metodi.
Descriptors		APPENDECTOMY LAPAROSCOPY TREATMENT OUTCOME