Apendicectomía laparoscópica unipuerto: primer caso reportado en Hospital Regional Rafael Hernández

[First single port appendectomy at hospital Rafael Hernández: case report]
DOI: 10.37980/im.journal.rmdp.20211733
Publicado
2021-06-15

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Autores/as

  • Marcos Antonio Achurra Olmos universidad de Panamá CSS
  • Reinaldo Isaacs Pontificia Universidade catolica de Sao Paulo

Palabras clave:

laparoscopía, apendicectomía laparoscópica por puerto único, apendicitis aguda

Keywords:

laparoscopy, single port appendectomy, acute appendicitis

Resumen

La apendicitis aguda es una de las principales causas de emergencia quirúrgica. Su pico de incidencia se ubica entre la segunda y tercera década de la vida con un riesgo de 8.6% y 6.5% para hombres y mujeres, respectivamente. La historia clínica y el examen físico continúan siendo los pilares del abordaje diagnóstico, aunado a la utilización de estudios de imagen en los casos de duda. La apendicectomía laparoscópica es considerada como el “estándar de oro” para el manejo de esta condición. La variante unipuerto de este procedimiento fue realizada por primera vez en 1992 por Pelosi, ofreciendo los mismos beneficios que la modalidad multipuertos, con la ventaja de menor cantidad de incisiones. Se presenta caso de paciente masculino de 52 años con cuadro clínico altamente sugestivo de apendicitis aguda y antecedente de hernia umbilical, el cual es sometido a la primera apendicectomía laparoscópica unipuerto reportada en nuestra institución y dado de egreso en su primer día post-operatorio sin complicaciones.


Abstract

Acute appendicitis is one of the main causes of surgical emergency. Its peak incidence is located between the second and third decade of life with a risk of 8.6% and 6.5% for men and women, respectively. The clinical history and physical examination continue to be the pillars of the diagnostic approach, together with the use of imaging studies in cases of doubt. Laparoscopic appendectomy is considered the "gold standard" for the management of this condition. The single-port variant of this procedure was first performed in 1992 by Pelosi, offering the same benefits as the multiport modality, with the advantage of fewer incisions. We present the case of a 52-year-old male patient with clinical symptoms highly suggestive of acute appendicitis and a history of umbilical hernia, who underwent the first laparoscopic one-port appendectomy reported in our institution and was discharged on his first postoperative day without complications.

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