Laparoscopic Appendicectomy
A laparoscopic or "lap" appendectomy is a minimally invasive surgery to remove the appendix through several small incisions, rather than through one large one. Recovery time from the lap appendectomy is short.
The appendix is a long narrow tube (a few inches in length) that attaches to the first part of the colon. It is usually located in the lower right quadrant of the abdominal cavity. The appendix produces a bacteria destroying protein called immunoglobulins, which help fight infection in the body. Its function, however, is not essential. People who have had appendectomies do not have an increased risk toward infection. Other organs in the body take over this function once the appendix has been removed.
Appendicitis is one of the most common surgical problems. One out of every 2,000 people has an appendectomy sometime during their lifetime. Treatment requires an operation to remove the infected appendix. Traditionally, the appendix is removed through an incision in the right lower abdominal wall.
In most laparoscopic appendectomies, surgeons operate through 3 small incisions while watching an enlarged image of the patient's internal organs on a monitor.
Advantage of Laparoscopic Appendectomy:
Results may vary depending upon the type of procedure and patient's overall condition. Common advantages are:
- Less postoperative pain
- May shorten hospital stay
- May result in a quicker return to bowel function
- Quicker return to normal activity
- Better cosmetic results
Although laparoscopic appendectomy has many benefits, it may not be appropriate for some patients. Early, non-ruptured appendicitis usually can be removed laparoscopically. Laparoscopic appendectomy is more difficult to perform if there is advanced infection or the appendix has ruptured. A traditional, open procedure using a larger incision may be required to safely remove the infected appendix in these patients.