THE APPLICATION OF ONE-PUNCTURED TRANSUMBILICAL APPENDECTOMY IN CASE OF ACUTE APPENDICITIS
The article deals with the results of prospective randomized study concerning the comparison of standard laparoscopic appendectomy and one-punctured trans umbilical appendectomy in case of acute appendicitis. The sample consisted of 88 patients. The characteristics of application of new low invasive procedure of appendectomy in comparison with standard laparoscopic appendectomy are described and analyzed. The optimal cut in case of transumbilical approach is proposed. The evaluation of application of different ports for common approach is given. The application of special instruments in various combinations is assessed. The optimal scheme of instruments and procedure of one-punctured appendectomy is developed. The measures of prevention of post-operative complications are proposed. The one-punctured transumbilical appendectomy can be used as an equivalent alternative of standard laparoscopic appendectomy in cases of non-complicated acute appendicitis.