Publication: Apendicectomía transumbilical videoasistida: implantación de una nueva técnica quirúrgica para el tratamiento de la apendicitis aguda en niños y adolescentes en el Hospital Clínico San Carlos
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2021-07-07
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Universidad Complutense de Madrid
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Abstract
La apendicitis aguda (AA) es una enfermedad común que requiere habitualmente una cirugía abdominal urgente en la edad pediátrica. En los últimos 20 años, la apendicectomía abierta ha ido siendo reemplazada en gran medida por la apendicectomía laparoscópica convencional (CLA). La apendicectomía laparoscópica transumbilical videoasistida (TULAA) surge en esta última década, como una técnica combinada laparoscópica y abierta, que incluye la movilización laparoscópica intraabdominal y la extirpación extracorpórea del apéndice. En el servicio de Cirugía Pediátrica del Hospital Clínico San Carlos (HCSC), desde al año 2014 hemos afianzado como primera elección el uso de este abordaje en todos los pacientes pediátricos que han precisado una apendicectomía como tratamiento de la AA...
Acute appendicitis (AA) is a common disease that usually requires urgent abdominal surgery in children. In the last 20 years, open appendectomy has been largely replaced by conventional laparoscopic appendectomy (CLA).Video-assisted laparoscopic transumbilical appendectomy (TULAA) emerged in the last decade, as acombined laparoscopic and open technique, which includes laparoscopic intraabdominal mobilization and extracorporeal removal of the appendix.The final objective of minimally invasive surgery is to optimize the patient's recovery, reducing postoperative pain, shortening the hospital stay and without increasing the rate of postoperative complications. In the Pediatric Surgery Service of the San Carlos Clinical Hospital (HCSC), since 2014 we have established the use of this approach as the first choice in all pediatric patients who have required an appendectomy as a treatment for AA...
Acute appendicitis (AA) is a common disease that usually requires urgent abdominal surgery in children. In the last 20 years, open appendectomy has been largely replaced by conventional laparoscopic appendectomy (CLA).Video-assisted laparoscopic transumbilical appendectomy (TULAA) emerged in the last decade, as acombined laparoscopic and open technique, which includes laparoscopic intraabdominal mobilization and extracorporeal removal of the appendix.The final objective of minimally invasive surgery is to optimize the patient's recovery, reducing postoperative pain, shortening the hospital stay and without increasing the rate of postoperative complications. In the Pediatric Surgery Service of the San Carlos Clinical Hospital (HCSC), since 2014 we have established the use of this approach as the first choice in all pediatric patients who have required an appendectomy as a treatment for AA...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Salud Pública y Materno-Infantil, leída el 21/01/2021