M. Olguner et al., LAPAROSCOPIC APPENDECTOMY IN CHILDREN PERFORMED USING SINGLE ENDOSCOPIC GIA STAPLER FOR BOTH MESOAPPENDIX AND BASE OF APPENDIX, Journal of pediatric surgery, 33(9), 1998, pp. 1347-1349
Background/Purpose: Similar to open appendectomy (OA), most of the met
hods described for laparoscopic appendectomy (LA) require two steps: (
1) dissection and division of mesoappendix and (2) excision of appendi
x. Dissection of mesoappendix requires more skill and experience durin
g LA. In single endoscopic GIA stapler laparoscopic appendectomy techn
ique (SESLAT), both mesoappendix and base of appendix may be divided i
n one step with the application of a single endoscopic GIA stapler, Me
thods: LA was attempted in 18 patients who had acute appendicitis and
was successfully performed in 16 patients. Results: In two patients, t
he operation was converted to OA. The authors did not need conversion
to OA because of complication resulting from the use of the stapler. C
onclusions: SESLAT is a quick, easy, and versatile method for LA in ch
ildren that obviates dissection of mesoappendix and related complicati
ons. Thus, it enables LA to be performed by inexperienced beginners. C
opyright (C) 1998 by W.B. Saunders Company.