Apendicectomía transumbilical videoasistidaimplantación de una nueva técnica quirúrgica para el tratamiento de la apendicitis aguda en niños y adolescentes en el Hospital Clínico San Carlos

Résumé

Acute appendicitis (AA) is a common disease that usually requires urgent abdominal surgery in children. In the last 20 years, open appendectomy has been largely replaced by conventional laparoscopic appendectomy (CLA).Video-assisted laparoscopic transumbilical appendectomy (TULAA) emerged in the last decade, as acombined laparoscopic and open technique, which includes laparoscopic intraabdominal mobilization and extracorporeal removal of the appendix.The final objective of minimally invasive surgery is to optimize the patient's recovery, reducing postoperative pain, shortening the hospital stay and without increasing the rate of postoperative complications. In the Pediatric Surgery Service of the San Carlos Clinical Hospital (HCSC), since 2014 we have established the use of this approach as the first choice in all pediatric patients who have required an appendectomy as a treatment for AA...