Diagnostische Probleme bei der akuten Appendizitis und die Indikation zur laparoskopischen Appendektomie
Diagnostic Problemsof Acute Appendicitis and Indications for Laparoscopic Appendectomy
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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