Technique of Laparoscopic Appendectomy Assisted by A Robotic Laparoscopic Positioner

Authors

  • Wuttichai Thanapongsathorn Department of Surgery, Faculty of Medicine, Srinakharinwirot University, Vajira Hospital, Bangkok, Thailand.

Abstract

           This paper describes a technique of laparoscopic appendectomy assisted by a robotic laparoscopic positioner called AESOP (Automated Endoscopic System for Optimal Positioning).

           The three-trocar technique operates with a 10 mm-port at umbilicus, two 5 mm-ports at left and right suprapubic hairline and lateral to rectus muscles. The first port is made at umbilicus by semi-open technique. AESOP is fixed to the left upper part of the operating table and the 10 mm-laparoscope is positioned under surgeon's voice control. Two-hand technique conducts the operation by left-hand grasper and right-hand cauterized dissector, 5 mm-clip applier, ligature and scissors. The appendiceal stump is ligated by double chromic endoloops or single chromic endoloop with a purse string suture. Occasionally when needed, 10 mm GI-stapler (endoGIA®, EZ35®) is applied through the umbilical port. The 5 mm-laparoscope instead of 10 mm- laparoscope is then inserted through the left lower port. The specimen of the appendix is removed through the umbilical port.

          Early experience in 20 cases showed no conversion rate and mortality. Only 2 cases of wound infection were encountered.

References

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Published

2001-03-30

How to Cite

1.
Thanapongsathorn W. Technique of Laparoscopic Appendectomy Assisted by A Robotic Laparoscopic Positioner. Thai J Surg [Internet]. 2001 Mar. 30 [cited 2024 Dec. 23];22(1):7-10. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/243268

Issue

Vol. 22 No. 1 (2001): January - March

Section

Surgical Techniques

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.