Domene Carlos Eduardo, Volpe Paula, Heitor Frederico Almeida
Núcleo Unificado de Tratamento do Obeso, São Paulo, SP, Brazil.
Arq Bras Cir Dig. 2014;27 Suppl 1(Suppl 1):73-6. doi: 10.1590/s0102-6720201400s100018.
Despite dating more than 30 years after the first laparoscopic appendectomy, ileocecal appendix resection is still performed by laparotomy in more than 90% of cases, in our country.
To describe a technique for laparoscopic removal of the ileocecal appendix with three portals, at low cost and very good aesthetic appearance.
Three incisions, one umbilical and two suprapubic are made; permanent material used comprises: grasping forceps, hook, scissors, needle holders, three metal trocars and four other usual instruments, and a single strand of cotton. There is no need to use of operative extractors bags, clips, endoloops, staples or bipolar or harmonic energy instruments. Allows triangulation and instrumentation in the conventional manner.
The proposed technique is safe and reproducible, easily teachable, at very low cost and can be applied in general hospitals with conventional laparoscopic equipment.
尽管在首例腹腔镜阑尾切除术后已过去30多年，但在我国，超过90%的回盲部阑尾切除术仍通过开腹进行。
描述一种通过三个切口进行腹腔镜下切除回盲部阑尾的技术，成本低且美观效果好。
做三个切口，一个在脐部，两个在耻骨上；使用的常用材料包括：抓钳、钩子、剪刀、持针器、三个金属套管针和其他四种常用器械，以及一股棉线。无需使用手术取出袋、夹子、内套圈、吻合器或双极或谐波能量器械。允许以传统方式进行三角定位和器械操作。
所提出的技术安全且可重复，易于传授，成本极低，可应用于配备传统腹腔镜设备的综合医院。
