UDK: 616.381-072.1:616.346.2-089.87

COMPARATIVE ASSESSMENT OF EFFECTIVENESS OF LAPAROSCOPIC AND LAPAROSCOPY-ASSISTED APPENDECTOMY

A. G. Beburishvili, S. I. Panin, N. S. Burchuladze, S. S. Nesterov, N. N. Onshin

Кафедра факультетской хирургии с курсом эндоскопической хирургии ФУВ ВолгГМУ

Abstract

Results of treating 367 patients with acute appendicitis were analysed in a cohort study: 151 laparoscopic appendectomy with clipping the stump of appendix, and 216 laparoscopy-assisted appendectomies with miniaccess. Th e laparoscopic variant of appendectomy is more preferable due to the absence of wound complications. In patients who underwent laparoscopyassisted appendectomy wound complications developed in 5 % of observed cases. After laparoscopy in 3 ,9 % of cases intraabdominal complications were noted. Relaparoscopy was performed in 1,3 % of patients after laparoscopy. Incompetence of appendix stump after laparoscopy was noted in 1,3 % of cases, which required repeat surgery.

Keywords

laparoscopic appendectomy, laparoscopy-assisted appendectomy, effectiveness, complications.

Contacts

Бебуришвили Андрей Георгиевич – д. м. н., профессор, заведующий кафедрой факультетской хирургии с курсом эндоскопической хирургии ФУВ ВолгГМУ, e-mail: beburishvili@mail.ru.