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Diagnostische Probleme bei der akuten Appendizitis und die Indikation zur laparoskopischen Appendektomie

  • K. Hallfeldt
  • M. Puhlmann
  • H. Waldner
  • L. Schweiberer
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1996)

Diagnostic Problemsof Acute Appendicitis and Indications for Laparoscopic Appendectomy

Summary

A retrospective study analyzing the outcome of 400 appendectomies for acute appendicitis in two different hospitals revealed a negative appendectomy rate of over 25%. As a consequence we altered the operative strategy by employing diagnostic laparoscopy in combination with laparoscopic appendectomy in all uncertain cases while still carrying out a conventional appendectomy when there was diagnostic certainty. Preliminary results show that laparoscopic appendectomy is a safe procedure and that the new concept reduces the negative appendectomy rate.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • K. Hallfeldt
    • 1
    • 2
  • M. Puhlmann
    • 1
    • 2
  • H. Waldner
    • 1
    • 2
  • L. Schweiberer
    • 1
    • 2
  1. 1.Chirurgische Klinik, Klinikum InnenstadtLudwig-Maximilians-Universität MünchenMünchenDeutschland
  2. 2.Department of SurgeryGlan Clwyd HospitalRhyl, ClwydUK

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