What are the advantages of laparoscopic appendectomy?

  Whether it is chronic appendicitis or acute appendicitis, once it develops, surgeons usually recommend the patient to have the appendix surgically removed. Previously, the appendix was removed by open surgery, but nowadays it is basically a minimally invasive procedure – laparoscopic appendectomy.  Why choose laparoscopy to remove the appendix?  Because laparoscopic techniques can now be used for the treatment of almost all general surgical diseases. This includes thyroid, breast, hepatobiliary, pancreatic, spleen, gastrointestinal, and hernia surgery. A small hole the size of the tail finger of only three or four fingers has replaced the long surgical incisions of the past, and especially in recent years, a more aesthetic and minimally invasive surgical technique has emerged These are endoscopic surgery through the natural cavity and laparoscopic surgery through the umbilical approach. The former involves placing the gastroscope into the abdominal cavity for surgery, also known as “gastroscopic surgery”. However, this technique is very difficult, and its clinical implementation is still pending. The latter involves placing a laparoscope and instruments into the body through the umbilicus, a fold in the body, to perform surgery. After the operation, the umbilical wound heals and there is little evidence of the operation.  Laparoscopic appendectomy has the following advantages: 1. Good visual field: the whole abdominal cavity can be explored, which is not available in open surgery. Although laparoscopic appendectomy is performed without opening the abdomen, it can clarify the diagnosis of many pelvic or abdominal diseases, discover other lesions combined in the abdominal cavity, and avoid missing other lesions.  2.Little trauma: During laparoscopic appendectomy, the appendix has no contact with the surgical channel, and the abdominal cavity is filled with carbon dioxide gas, forming a high-pressure area, avoiding the irritation and pollution of the abdominal cavity by air and airborne dust bacteria, and keeping the abdominal cavity clean. The abdominal wall poke hole replaces the abdominal wall incision, avoiding damage to the abdominal wall muscles, blood vessels and corresponding nerves, and no postoperative weakness of the abdominal wall and abdominal wall incision hernia, no scarring of the abdominal wall muscles affecting motor function, and no numbness of the corresponding skin due to abdominal wall nerve severance. Poke hole incision infection is far less than the traditional open incision infection or fat liquefaction, almost no wound infection and incisional hernia.  3, less risk: The chance of intestinal adhesions in laparoscopic appendectomy is much lower than that in open surgery, which has been confirmed by years of clinical observation. Laparoscopic surgery is less disturbing to the organs in the abdominal cavity, and intraoperative operation is based on ultrasonic knife operation, which first coagulates and then breaks the blood vessels of the appendix, resulting in less bleeding. The surgical field of view is wide, the flushing is thorough before the end of the operation, and the pus in the abdominal cavity produced by appendicitis can be completely sucked out, thus the intestinal function recovers quickly after the operation and food can be eaten earlier, which in turn greatly reduces the factor of intestinal adhesions after the operation.  4.Fast recovery: The minimally invasive technical advantages of laparoscopic appendectomy, less pain after laparoscopic appendectomy, fast recovery, unlimited sleeping position, and the ability to turn over at will, greatly reduce the patient’s postoperative discomfort. They can get out of bed on the day of surgery, can eat the next day, and can be discharged from the hospital in three to five days, which reduces the intensity of accompanying care by family members.