title: [Laparoscopic appendectomy in advanced stages of appendicitis].
abstract: The laparoscopic stapling appendectomy (LA) is a safe and efficient procedure for all forms of appendicitis. Overall, LA was performed in 51.8% of 280 patients with advanced appendicitis, in 1998 in more than 85%, due to increasing experience. In these cases, the appendix was dissected in double-staple technique and extracted in an endo-bag. The postoperative outcome was uncomplicated even in advanced appendicitis, a reoperation had to be done in 2 patients (1.4%). Wound infections occurred only in 3.5% of patients with LA compared to 8.2% with open appendectomy, the mortality was 0%.
authors.affiliation: Chirurgische Klinik I-Allgemein- und Gefässchirurgie, Städtische Kliniken Neuss.
authors.forename: T
authors.initials: T
authors.lastname: Carus
authors.forename: W
authors.initials: W
authors.lastname: Grebe
authors.forename: T
authors.initials: T
authors.lastname: Sarwas
authors.forename: A J
authors.initials: AJ
authors.lastname: Coburg
mesh_terms: D001062:Appendectomy / Q000295:instrumentation; D001064:Appendicitis / Q000473:pathology / Q000601:surgery*; D001065:Appendix / Q000473:pathology; D006801:Humans; D010535:Laparoscopy; D013528:Surgical Staplers; D016896:Treatment Outcome