Laparoscopic Appendectomy: Prospective Study

Appendectomy is the chosen treatment for patients with acute appendicitis and laparoscopic approach for these cases is an option to have in mind. The main purpose of this paper is to analyze the clinical aspects, describe surgical technic, its advantages, surgery results and the evolution during and after the operation in 73 cases of laparoscopic appendectomy. All the patients with diagnosed appendicitis were submitted to laparoscopic appendectomy on Beneficen in Ibn Tofail Hospital, between April 2020 and April 2023, using a specific protocol. There was a predominance in young adults, sex ratio was 1,35, having a classic clinical finding of acute appendicitis in 73% of the cases, high leucocytosis in 84% and by anatomic pré-ileal site of vermiform appendix in 75%. The appendicectomy realised with full laparoscopy “IN” required three ports (Fig 1), to secure the appendix base, the appendix was doubly ligated after a good appendix meso dissection by electrocautery. The specimen is removed without endobag through camera port, thereby saving the cost of endostapler and an endobag. Our technique was Low-Cost Technique. The mean time taken by the operation was 40 minutes with a conversion rate of 0%. In hospital period was 48 hours with 5 days to return to normal activities. The laparoscopic appendectomy is nowadays the technique of choice for the treatment of acute appendicitis.