Özet:

Purpose: Open, classic multiport laparoscopy and single-injection laparoscopic surgery (SILS) with less disadvantages, we aimed to present our experience of laparoscopic apendectomy with toracoport assistance Methods: In the study between January 2018 and December 2019 the data of patients with apendectomy caused by acute apandicitis were reviewed backwards at the Dicle University School of Medicine Children's Surgery Clinic. The patient’s gender, age, application complaints, diagnostic methods, laboratory examinations, the process, the methods of treatment and the duration of hospital stay were assessed. In USG, controversial computer tomography (BT) was requested to patients who were monitored with suspicious findings that were not clearly distinguished and considered to have additional pathologies. One day after the operation, the patient's clinic was performed orally. The patient was removed with recommendations without any problems in the follow-up. A week later, patients were called to check with the pathological results. Complications have been recorded. Results: In our study there were a total of 278 patients, including 177 (63.7 percent) men and 101 (36.3 percent) girls. The average age of patients was 11.6 (2-17) The main symptoms of the patients were: stomach pain was 93.1 % (n:260), appetite loss was 79.1 % (n:220), nausea was 26.9 % (n:75), vomiting was 16.9 % (n:47) and fever was 4 % (n:12). In the laboratory examinations of patients, 209 (75.2%) of the patient's WBC increased. The CRP height was detected in 218 (78.4%) patients. In USG, significant findings were observed in 235 (84) patients. In 16 of the patients with BT taken, 14 (5,03) observed findings compatible with apandisit. All patients began the surgery with a laparascopy assisted by the toracoport. The procedure was completed in 250 (89.2%) patients with laparoscopic apendectomy assisted with toracoport. Five patients needed 2 ports, 10 patients needed 3 ports. Thirty-three patients were laparoscopic and transmitted to open surgery. The patient's average stay period was 1.7 (1-4) days. As a complication, 4 patients with brid ileus, 3 patients with wound-place infection, 1 patient with umblikal herni developed and surgically corrected. Three of the developing patients with Brid ileus were conservative, one was corrected by surgery. The result: Laparascopic apendectomy with toracoport is a minimal invasive method and we recommend it to be used with its advantages such as cosmetics, cost, facility of surgery, pain, lack of hospital stay time and low complication.

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