Laparoscopic appendectomy

  Traditional appendectomy has been performed for more than 100 years and is the classical and proven procedure for the treatment of acute and chronic appendicitis and is the gold standard approach.  Some people believe that its surgical incision is only 4-5 cm, which is less invasive and seems unnecessary for laparoscopic surgery. However, in practice, obese patients or patients with difficulties in finding the appendix often need to extend the incision, and when the appendix is found to be normal intraoperatively, further exploration is compromised by the small incision and limited exposure of the surgical field. In clinical care, sometimes physicians are faced with patients with right lower abdominal pain of unknown diagnosis and are indecisive whether to take aggressive surgical treatment. Laparoscopic appendectomy, to a large extent, overcomes the drawbacks of traditional surgery by comprehensively exploring the abdominal cavity and finding as many intra-abdominal lesions as possible, and treating them accordingly on this basis, greatly improving the diagnosis and cure rate of such patients.  Studies by many authors in recent years have confirmed that laparoscopic appendectomy has undeniable advantages compared with traditional appendectomy: 1) less trauma, less pain, and generally no injection of painkillers; 2) faster recovery of intestinal function after surgery and shorter hospital stay; 3) clear exposure of the surgical field, high diagnostic accuracy, and comprehensive exploration of the abdominal and pelvic cavities, which can provide a more reliable diagnostic method for patients with right lower abdominal pain of unknown diagnosis, especially for young female patients The incidence of postoperative complications is low, and the incidence of incisional infection, intestinal adhesions and abdominal abscesses are lower than that of traditional surgery; 5. The incisional scar on the abdominal wall is smaller and more in line with cosmetic needs. If the hospital has the condition to use “mini-scope”, the surgical incision does not need to be sutured and no trace is left.  But laparoscopic appendectomy is not perfect. At present, laparoscopic appendectomy cannot completely replace traditional open surgery, and there are certain limitations in laparoscopic surgery, which sometimes cannot meet the technical requirements of traditional surgery. In addition, it is difficult to promote this technology in primary hospitals because a complete set of special laparoscopic equipment and instruments are required.  Laparoscopic appendectomy is a product of the combination of modern medical high technology and traditional surgical techniques, which provides surgeons with a new method that can better serve patients when properly applied.