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master's thesis
Laparoskopska kirurgija u liječenju akutnog apendicitisa
Zagreb: University of Zagreb, School of Medicine, 2022. urn:nbn:hr:105:237443
Pavlić, Klara
University of Zagreb
School of Medicine
Department of Surgery

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Pavlić, K. (2022). Laparoskopska kirurgija u liječenju akutnog apendicitisa (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:237443

Pavlić, Klara. "Laparoskopska kirurgija u liječenju akutnog apendicitisa." Master's thesis, University of Zagreb, School of Medicine, 2022. https://urn.nsk.hr/urn:nbn:hr:105:237443

Pavlić, Klara. "Laparoskopska kirurgija u liječenju akutnog apendicitisa." Master's thesis, University of Zagreb, School of Medicine, 2022. https://urn.nsk.hr/urn:nbn:hr:105:237443

Pavlić, K. (2022). 'Laparoskopska kirurgija u liječenju akutnog apendicitisa', Master's thesis, University of Zagreb, School of Medicine, accessed 26 November 2024, https://urn.nsk.hr/urn:nbn:hr:105:237443

Pavlić K. Laparoskopska kirurgija u liječenju akutnog apendicitisa [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2022 [cited 2024 November 26] Available at: https://urn.nsk.hr/urn:nbn:hr:105:237443

K. Pavlić, "Laparoskopska kirurgija u liječenju akutnog apendicitisa", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2022. Available at: https://urn.nsk.hr/urn:nbn:hr:105:237443

Metadata
TitleLaparoskopska kirurgija u liječenju akutnog apendicitisa
Title (english)Laparoscopic surgery in treatment of acute appendicitis
AuthorKlara Pavlić
MentorIgor Petrović (mentor)
Committee memberHrvoje Silovski (predsjednik povjerenstva)
Committee memberTomislav Meštrović (član povjerenstva)
Committee memberIgor Petrović (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Surgery)
Zagreb
Defense date and country2022-07-15, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract
Akutni apendicitis je u razvijenim zemljama najčešći uzrok akutnog abdomena koji liječimo hitnim kirurškim zahvatom. Najčešće obolijevaju mlađe osobe, između 10. i 30. godine života, a rijetko se pojavljuje u male djece i starijih osoba. Klinička slika je varijabilna, no velik dio bolesnika se prezentira gubitkom apetita nakon kojeg slijede neodređeni bolovi u središnjem dijelu trbuha, mučnina i povraćanje. Kasnije se bolovi lokaliziraju u desnom donjem kvadrantu u tzv. McBurneyevoj točki. Varijabilan položaj crvuljka uzrokuje varijabilnu kliničku prezentaciju, a može utjecati i na postupak kirurškog zbrinjavanja. Dijagnoza je ponajviše klinička - postavlja se na temelju anamneze, fizikalnog pregleda i bodovnih ljestvica, a nadopunjuje osnovnim laboratorijskim testovima i slikovnim metodama. Konačna dijagnoza postavlja se eksploracijom trbušne šupljine i vizualizacijom crvuljka te patohistološkom analizom tkiva crvuljka. Zlatni standard u liječenju je apendektomija - odstranjenje crvuljka. Otvorena apendektomija podrazumijeva tzv. izmjeničnu ili McBurneyevu inciziju. Danas je otvorenu apendektomiju uvelike zamijenila laparoskopska tehnika, osim u slučajevima kad je ona otežana ili se radi o generaliziranom peritonitisu. Laparoskopska apendektomija ima brojne prednosti u odnosu na otvorenu operaciju uključujući kraće trajanje hospitalizacije, manju incidenciju infekcije kirurške rane, brži povratak svakodnevnim aktivnostima, bolji estetski rezultat, efektivniju lavaža i kvalitetniju eksploracija trbušne šupljine. Ovaj diplomski rad obuhvaća pregled akutnog apendicitisa i prikaz osnovnih principa laparoskopske apendektomije te alternativnih tehnika koje se koriste, ulogu laparoskopske apendektomije i usporedbu s otvorenom operacijom.
Abstract (english)
Acute appendicitis is the most common cause of acute abdomen in developed countries which is primarily treated surgically. It most commonly occurs among young people between 10 and 30 years of age and rarely in small children and the elderly. Clinical presentation is variable, although most of the patients initially present with loss of appetite, followed by unspecified pain in the center of the abdomen, nausea and vomiting. Later the pain localizes in McBurney’s point in the lower right quadrant of the abdomen. Variations in location of the appendix cause variable clinical presentation and can affect the process of the surgical procedure. Diagnosis is essentially based on patient’s history, physical examination and clinical scores complemented with laboratory tests and imaging. Final diagnosis is made during the exploration of the peritoneal cavity, visualization of the appendix and pathohistological analysis. The gold standard in treatment is appendectomy - removal of the appendix. Open appendectomy implies so called alternating or McBurney’s incision. Currently the open approach is greatly replaced with laparoscopic appendectomy, except in cases of difficulties during the procedure of diffuse peritonitis. Laparoscopic appendectomy has many advantages including shorter length of stay, fewer surgical site infections, rapid recovery, better cosmetic result, more effective peritoneal lavage and better exploration of the peritoneal cavity. This master’s thesis presents an overview of acute appendicitis and basic principles of laparoscopic appendectomy, along with alternative techniques, role of laparoscopic appendectomy and comparison with open surgery.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:237443
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2023-01-26 10:09:24