Appendectomy, laparoscopic

Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Trocar positions
Instrumentation, Minilaparotomy
Pneumoperitoneum, Exploration
Working trocars, mobilization of the appendix
Transection of the mesentery
Transection of the appendix
Retrieval of the appendix, swabbing of the Douglas pouch
Extraction of the retrieval bag
Fascial closure, removal of trocars, skin suture

Authors

Prof. Dr. med. Marco Niedergethmann

Alfried Krupp Krankenhaus, Essen

Prof. Dr. med. Stefan Post

ehemaliger Direktor der Chirurgischen Klinik, Universitätsklinikum Mannheim

Date

date of publication: 22.04.2009
date of update: 05.02.2023

Trocar positions

The author presents two possible trocar arrangements. In the case demonstrated here, the 12mm trocar is placed at the navel, the 5mm in the midline suprapubic area, and a 10mm pararectal in the left lower abdomen.

Alternatively, the 10 and 5mm trocars can be placed at the pubic hairline on the right and left.

Instrumentation, Minilaparotomy

Infraumbilical incision, minilaparotomy, and insertion of the 12mm trocar under direct vision after

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general and visceral surgery

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After activation, you can expect the following content:

Trocar positions
Instrumentation, Minilaparotomy
Pneumoperitoneum, Exploration
Working trocars, mobilization of the appendix
Transection of the mesentery
Transection of the appendix
Retrieval of the appendix, swabbing of the Douglas pouch
Extraction of the retrieval bag
Fascial closure, removal of trocars, skin suture