title: Endoscopic appendectomy in childhood--technical aspects.
abstract: Since March 1992 we initially performed 87 laparoscopic appendectomies applying two cat-gut loops for ligation of the stump. Since we postoperatively found abscess formation twice, we modified the technique in the following aspects: After the introduction of the scope at the umbilicus, 2 working trocars with a diameter of a 5 mm are placed in the left lower quadrant of the abdomen, so that the surgeon can skeletonize the appendix bimanually until it can be dissected with an Endo-GIA. This procedure we carried out in 41 cases and did not see any postoperative complications yet. Thus we consider it an appropriate alternative to conventional surgery.
authors.affiliation: Kinderchirurgische Klinik, Universität München, Germany.
authors.forename: S
authors.initials: S
authors.lastname: Kellnar
authors.forename: A
authors.initials: A
authors.lastname: Trammer
authors.forename: H
authors.initials: H
authors.lastname: Till
authors.forename: H
authors.initials: H
authors.lastname: Lochbühler
mesh_terms: D000293:Adolescent; D001062:Appendectomy / Q000295:instrumentation*; D001064:Appendicitis / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004867:Equipment Design; D006801:Humans; D007223:Infant; D020706:Laparoscopes; D013528:Surgical Staplers; D013536:Suture Techniques / Q000295:instrumentation