Incidental Appendectomy During Gynecologic Laparoscopic Surgery

Kim, D S; Lee, D W; Ko, M S; Song, J; Cho, S J

Abstract

OBJECTIVE
To evaluate the safety of incidental appendectomy during gynecologic laparoscopic surgery.
METHODS
Thirty incidental appendectomies were performed in patients undergoing gynecologic laparoscopic surgery at National Medical Center from October 1997 to October 1998. Operations were performed consequently by same operator. Appendix and mesoappendix was separated by bipolar electrocoagulator, and 2 endoloops were applicated at base of appendix with cauterization and milking of content, 1 endoloop was applicated at 1-1.5cm above base, and then cauterized site was cut with hook scissors. We analyzed operation times, appendical pathology, intraoperative and postoperative complications.
RESULTS
Operating times were 6 min to 12 min. Appendical histologic finding included normal in 16 cases[53%], fecal material of appendical lumen in 8 cases[27%], periappendical adhesion in 4 cases[13%], endometriosis in 1 case[3%], and mucocele in 1 case[3%]. Except for transient fever[>37.5degrees] in 4 cases[13%] and epigastric & shoulder pain in 3 cases[10%], there were no intraoperative and postoperative complications.
CONCLUSION
We conclude that in the hands of experienced endoscopists risk are minimal, and incidental appendectomy during gynecologic laparoscopic surgery can be performed safely.