[Diagnostic problems in 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.
Hallfeldt
K
K
Chirurgische Klinik, Klinikum Innenstadt, Ludwig-Maximilians-Universität München.
Puhlmann
M
M
Waldner
H
H
Schweiberer
L
L
D000208:Acute Disease; D001062:Appendectomy / Q000706:statistics & numerical data; D001064:Appendicitis / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D001065:Appendix / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D010535:Laparoscopy / Q000706:statistics & numerical data; D012189:Retrospective Studies; D016896:Treatment Outcome; D019564:Unnecessary Procedures
Diagnostische Probleme bei der akuten Appendizitis und die Indikation zur laparoskopischen Appendektomie.