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Articolul urmator |
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Ultima descărcare din IBN: 2021-04-09 03:24 |
SM ISO690:2012 PISARENCO, Sergiu, ZUGRAV, Tatiana, PÎRŢAC, Ion, CHERDEVARA, Corneliu. Apendectomia laparoscopică – limite și posibilități. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 436. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | |||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | |||||||
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Pag. 436-436 | |||||||
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Rezumat | |||||||
Background. Acute appendicitis is the most common abdominal surgical emergency. So far, the indications for laparoscopic appendectomy are debatable and the advantages do not seem as convincing as those of laparoscopic cholecystectomy. Objective of the study. Assessing the possibilities of the laparoscopic approach in acute appendicitis. Material and Methods. 689 patients operated with acute appendicitis, hospitalized in SCM “St. Trinity ”, in 2017-2020, of which 5% (35) laparoscopic appendectomy, 7% (48) laparoscopic appendectomy with conversion, 88% classic appendectomy. The indications of laparoscopic approach were analyzed, postoperative complications were evaluated and the rehabilitation period of the patients, the cause of conversions. Results. Group I - day-bed - 4. Group II and III - day-bed - 7. Postoperative complications: Group I - 2.8% (1) - latent local peritonitis; Group II - 23% (3 subaponeurotic abscesses, 8-wound suppuration); Group III - 4.4% (latent peritonitis - 4, subaponeurotic abscess - 10, suppuration of the wound - 12, death - 1). Group I - simple appendicitis catarrhal 3, phlegmonous 32. Group II - complicated appendicitis (gangrenous 24, perforative 5, appendicular abscess with purulent peritonitis 11, retrocecal - 8). Operating time: I group -80 min; II group -105; Group III -60 min. Conclusion. Laparoscopic appendectomy allows faster recovery of patients, lower rate of local complications. It has limited possibilities in complicated appendicitis and an extension of operating time. |
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Cuvinte-cheie appendicitis, laparoscopy, Apendicita, laparoscopie |
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