Colorectal

Appendicectomy (Laparoscopic)

APPENDICECTOMY (LAPAROSCOPIC)

Indication: Acute appendicitis. Preferred approach particularly in diagnostic uncertainty (allows full peritoneal inspection), in female patients (to exclude gynaecological pathology), and where lower wound infection rate is desired.

Patient Position: Supine with slight left lateral tilt and Trendelenburg.

Anaesthesia: General.

Prophylactic Antibiotics: Broad-spectrum coverage as per open approach.

Ports: Three ports — umbilical (10–12 mm camera), suprapubic (5 mm), and left iliac fossa or right iliac fossa (5 mm).

Procedure: