FEATURES OF LAPAROSCOPIC APPENDECTOMY WITH THE ATYPICAL LOCATION OF THE APPENDIX IN PATIENTS WITH A HIGH RISK OF CARDIOPULMONARY INSUFFICIENCY

Objectives. The purpose of the work was to expand the capabilities of laparoscopic appendectomy in the atypical location of the destructively altered appendix in patients with a high risk of cardiopulmonary pathology, through the use of new surgical techniques. Material and methods. In the clinic...

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Autores principales:	Hasan Yahya, Boris Zaporozhchenko, Igor Borodaev, Valerii Kachanov
Formato:	article
Lenguaje:	EN RO RU
Publicado:	Association of Surgeons of the Republic of Moldova 2021
Materias:	acute appendicitis appendectomy laparoscopy cardiopulmonary insufficiency atypical location of the appendix Medicine R Surgery RD1-811
Acceso en línea:	https://doaj.org/article/5005775d779a43dfa035bc181e5aa575
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spelling	oai:doaj.org-article:5005775d779a43dfa035bc181e5aa5752021-11-04T06:37:49ZFEATURES OF LAPAROSCOPIC APPENDECTOMY WITH THE ATYPICAL LOCATION OF THE APPENDIX IN PATIENTS WITH A HIGH RISK OF CARDIOPULMONARY INSUFFICIENCY10.5281/zenodo.56369301810-18521810-1879https://doaj.org/article/5005775d779a43dfa035bc181e5aa5752021-11-01T00:00:00Zhttps://artamedica.md/index.php/artamedica/article/view/151https://doaj.org/toc/1810-1852https://doaj.org/toc/1810-1879 Objectives. The purpose of the work was to expand the capabilities of laparoscopic appendectomy in the atypical location of the destructively altered appendix in patients with a high risk of cardiopulmonary pathology, through the use of new surgical techniques. Material and methods. In the clinic of Department of Surgery No. 2, Odessa National Medical University, from 2015 to 2020, there were operated on 57 patients for acute appendicitis with an atypical location of the appendix with the presence of concomitant cardiopulmonary pathology. All patients were divided into 2 groups. The first group consisted of 21 (36.8%) patients with an atypical location of the appendix and a high risk of cardiopulmonary failure, who underwent an open appendectomy. The second group consisted of 36 (63.2%) patients with an atypical location of the appendix and a high risk of cardiopulmonary failure, who underwent laparoscopic appendectomy. The procedure was performed according to two methods: with the imposition of pneumoperitoneum in 24 (42.2%) patients and in 12 (21%) patients with the imposition of laparolifting, due to severe cardiopulmonary pathology. Results. Postoperative complications in group 2 were less than in patients in group 1. Average stay in the hospital of patients of the second group, after laparoscopic appendectomy, was 4.9 ± 2.35 days. In patients of the first group, with open appendectomy – 10.6 ± 5.1 days. After minimally invasive interventions, patients were in the hospital on average 5 days less than patients who underwent "open" appendectomy. Conclusions. The use of laparoscopic and video-assisted approaches, in an atypical location of appendicitis, can reduce the incidence of postoperative complications and deaths, which generally improves the results of the treatment. Hasan YahyaBoris ZaporozhchenkoIgor BorodaevValerii KachanovAssociation of Surgeons of the Republic of Moldovaarticleacute appendicitisappendectomylaparoscopycardiopulmonary insufficiencyatypical location of the appendixMedicineRSurgeryRD1-811ENRORUArta Medica, Vol 79, Iss 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN RO RU
topic	acute appendicitis appendectomy laparoscopy cardiopulmonary insufficiency atypical location of the appendix Medicine R Surgery RD1-811
spellingShingle	acute appendicitis appendectomy laparoscopy cardiopulmonary insufficiency atypical location of the appendix Medicine R Surgery RD1-811 Hasan Yahya Boris Zaporozhchenko Igor Borodaev Valerii Kachanov FEATURES OF LAPAROSCOPIC APPENDECTOMY WITH THE ATYPICAL LOCATION OF THE APPENDIX IN PATIENTS WITH A HIGH RISK OF CARDIOPULMONARY INSUFFICIENCY
description	Objectives. The purpose of the work was to expand the capabilities of laparoscopic appendectomy in the atypical location of the destructively altered appendix in patients with a high risk of cardiopulmonary pathology, through the use of new surgical techniques. Material and methods. In the clinic of Department of Surgery No. 2, Odessa National Medical University, from 2015 to 2020, there were operated on 57 patients for acute appendicitis with an atypical location of the appendix with the presence of concomitant cardiopulmonary pathology. All patients were divided into 2 groups. The first group consisted of 21 (36.8%) patients with an atypical location of the appendix and a high risk of cardiopulmonary failure, who underwent an open appendectomy. The second group consisted of 36 (63.2%) patients with an atypical location of the appendix and a high risk of cardiopulmonary failure, who underwent laparoscopic appendectomy. The procedure was performed according to two methods: with the imposition of pneumoperitoneum in 24 (42.2%) patients and in 12 (21%) patients with the imposition of laparolifting, due to severe cardiopulmonary pathology. Results. Postoperative complications in group 2 were less than in patients in group 1. Average stay in the hospital of patients of the second group, after laparoscopic appendectomy, was 4.9 ± 2.35 days. In patients of the first group, with open appendectomy – 10.6 ± 5.1 days. After minimally invasive interventions, patients were in the hospital on average 5 days less than patients who underwent "open" appendectomy. Conclusions. The use of laparoscopic and video-assisted approaches, in an atypical location of appendicitis, can reduce the incidence of postoperative complications and deaths, which generally improves the results of the treatment.
format	article
author	Hasan Yahya Boris Zaporozhchenko Igor Borodaev Valerii Kachanov
author_facet	Hasan Yahya Boris Zaporozhchenko Igor Borodaev Valerii Kachanov
author_sort	Hasan Yahya
title	FEATURES OF LAPAROSCOPIC APPENDECTOMY WITH THE ATYPICAL LOCATION OF THE APPENDIX IN PATIENTS WITH A HIGH RISK OF CARDIOPULMONARY INSUFFICIENCY
title_short	FEATURES OF LAPAROSCOPIC APPENDECTOMY WITH THE ATYPICAL LOCATION OF THE APPENDIX IN PATIENTS WITH A HIGH RISK OF CARDIOPULMONARY INSUFFICIENCY
title_full	FEATURES OF LAPAROSCOPIC APPENDECTOMY WITH THE ATYPICAL LOCATION OF THE APPENDIX IN PATIENTS WITH A HIGH RISK OF CARDIOPULMONARY INSUFFICIENCY
title_fullStr	FEATURES OF LAPAROSCOPIC APPENDECTOMY WITH THE ATYPICAL LOCATION OF THE APPENDIX IN PATIENTS WITH A HIGH RISK OF CARDIOPULMONARY INSUFFICIENCY
title_full_unstemmed	FEATURES OF LAPAROSCOPIC APPENDECTOMY WITH THE ATYPICAL LOCATION OF THE APPENDIX IN PATIENTS WITH A HIGH RISK OF CARDIOPULMONARY INSUFFICIENCY
title_sort	features of laparoscopic appendectomy with the atypical location of the appendix in patients with a high risk of cardiopulmonary insufficiency
publisher	Association of Surgeons of the Republic of Moldova
publishDate	2021
url	https://doaj.org/article/5005775d779a43dfa035bc181e5aa575
work_keys_str_mv	AT hasanyahya featuresoflaparoscopicappendectomywiththeatypicallocationoftheappendixinpatientswithahighriskofcardiopulmonaryinsufficiency AT boriszaporozhchenko featuresoflaparoscopicappendectomywiththeatypicallocationoftheappendixinpatientswithahighriskofcardiopulmonaryinsufficiency AT igorborodaev featuresoflaparoscopicappendectomywiththeatypicallocationoftheappendixinpatientswithahighriskofcardiopulmonaryinsufficiency AT valeriikachanov featuresoflaparoscopicappendectomywiththeatypicallocationoftheappendixinpatientswithahighriskofcardiopulmonaryinsufficiency
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FEATURES OF LAPAROSCOPIC APPENDECTOMY WITH THE ATYPICAL LOCATION OF THE APPENDIX IN PATIENTS WITH A HIGH RISK OF CARDIOPULMONARY INSUFFICIENCY

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