Vargas Flores Julian, Vargas Ávila Arcenio Luis, De Alba Cruz Israel, De Luna Jimenez Stephany, Sánchez Pacheco Jesús, Nagore Ancona Jesus Fernando, Lara Valdes Javier, Bravo Roman Elizabeth
Hospital Regional "General Ignacio Zaragoza" ISSSTE, Ciudad de México, México.
Ann Med Surg (Lond). 2021 Apr 20;65:102331. doi: 10.1016/j.amsu.2021.102331. eCollection 2021 May.
Appendectomy is one of the most frequent emergency surgical procedures, currently with a preference for laparoscopic management worldwide.
To report a new laparoscopic appendectomy technique and its results.
Cohort study of patients with a diagnosis of appendicitis who are managed laparoscopically. In a total 1063 patients, 148 were operated on with the Zaragoza technique during the period from January 2002 to December 2018. The technique consists of making a window in the appendicular base between the meso and the appendicular wall, two prolene or silk sutures are placed, and the cecal appendix is cut between the two sutures, finally the mesoappendix is sectioned with a harmonic scalpel or bipolar clamp.
From our results, we had 1.4% residual abscesses, 1.4% umbilical surgical wound infection and 0% mortality.
Various laparoscopic management methods for appendectomy are reported in the literature, with a wide range in the results. We have obtained good results in patients subjected to our technique.
The Zaragoza technique for laparoscopic appendectomy is an effective and safe option that prevents excessive manipulation of the inflamed appendix and is easily reproducible.
阑尾切除术是最常见的急诊外科手术之一，目前在全球范围内更倾向于采用腹腔镜治疗。
报告一种新的腹腔镜阑尾切除技术及其结果。
对诊断为阑尾炎并接受腹腔镜治疗的患者进行队列研究。在2002年1月至2018年12月期间，共有1063例患者，其中148例采用萨拉戈萨技术进行手术。该技术包括在阑尾根部的系膜和阑尾壁之间开一个窗口，放置两根普理灵或丝线缝线，在两根缝线之间切断盲肠阑尾，最后用超声刀或双极电凝钳切断阑尾系膜。
从我们的结果来看，残余脓肿发生率为1.4%，脐部手术伤口感染率为1.4%，死亡率为0%。
文献中报道了各种腹腔镜阑尾切除的治疗方法，结果差异很大。我们对采用我们技术的患者取得了良好的效果。
萨拉戈萨腹腔镜阑尾切除技术是一种有效且安全的选择，可避免对发炎阑尾的过度操作，且易于重复实施。
