Shapovalov V. The place and role of laparoscopy in diagnosis and treatment of acute appendicitis according to the comparative assessment of traditional and endoscopic appendectomy

The thesis is aimed at solution of one of the most important problems, i.e. improvement of treatment results of patients with acute appendicitis by application of laparoscopic technique in diagnosis and treatment of the disease. The laparoscopic diagnosis of acute appendicitis allows to avoid "unnecessary" appendectomy inevitable in traditional clinical and laboratory diagnosis. Performance of laparoscopic appendectomies for acute appendicitis is possible in 95.8% of patients. Duration of laparoscopic appendectomy - (53.4 ± 7.6) min does not differ from open surgery - (49.2 ± 8.7) min. Duration of hospital treatment after laparoscopic appendectomy - (3.4 ± 0.9) days is shorter than after open surgery - (6.2 ± 1.2) days. The rate of postoperative complications after laparoscopic appendectomy is lower than those after traditional open surgery - accordingly 3.5 and 6.1%.