title: [Diagnostic problems in acute appendicitis and indications for laparoscopic appendectomy].
abstract: 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.
authors.affiliation: Chirurgische Klinik, Klinikum Innenstadt, Ludwig-Maximilians-Universität München.
authors.forename: K
authors.initials: K
authors.lastname: Hallfeldt
authors.forename: M
authors.initials: M
authors.lastname: Puhlmann
authors.forename: H
authors.initials: H
authors.lastname: Waldner
authors.forename: L
authors.initials: L
authors.lastname: Schweiberer
mesh_terms: 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
vernacular_title: Diagnostische Probleme bei der akuten Appendizitis und die Indikation zur laparoskopischen Appendektomie.