title: [Laparoscopic appendicectomy in 2013--a barely tolerated procedure turning into a gold standard operation?].
abstract: BACKGROUND
  Laparoscopic appendectomy is one of the first developed minimally invasive surgical procedures, nevertheless its judgement is contradictory up to the present day as far as its advantages and indications are concerned.
  
  
  METHODS
  The authors of this article give an overview and analyse the relevant literature concerning laparoscopic appendectomy and the data of patients on whom appendectomy was performed from 01/01/2005 to 30/09/2013 with laparoscopic and open technique.
  
  
  RESULTS
  At the Surgical Department of the Uzsoki Hospital 1214 patients had appendectomy because of acute appendicitis from 01/01/2005 to 30/09/2013. The applied surgical procedure was laparoscopy with 1065 patients (87.73%) and the open technique with 149 patients (12.27%). Since January 2006 our main principle has been that in case of appendicitis the primary technique to be applied is laparoscopic appendectomy. We were forced to conversion with 16.5% of patients and as the operational experience of the department grows, the proportion of conversions tends to decrease.
  
  
  CONCLUSIONS
  The advantages of laparoscopic appendectomy as opposed to open surgery have become obvious in the past decade, and the procedure may be recommended for all age groups. In case acute appendicitis is suspected the primary procedure to be applied in our department is the laparoscopic operation, the results of which are at least as good as that of open appendectomy. The routine application of laparoscopic appendectomy provides an excellent basis for the acquisition of advanced laparoscopic surgery thus appendectomy will not lose its training character due to the laparoscopic approach.
authors: Uzsoki Utcai Kórház Sebészeti Osztály 1145 Budapest Uzsoki u. 29.
authors: István
authors: I
authors: Besznyák
authors: Uzsoki Utcai Kórház Sebészeti Osztály 1145 Budapest Uzsoki u. 29.
authors: Imre
authors: I
authors: Svastics
authors: Uzsoki Utcai Kórház Sebészeti Osztály 1145 Budapest Uzsoki u. 29.
authors: Tamás
authors: T
authors: Egyed
authors: Uzsoki Utcai Kórház Sebészeti Osztály 1145 Budapest Uzsoki u. 29.
authors: Félix
authors: F
authors: Szentpétery
authors: Uzsoki Utcai Kórház Sebészeti Osztály 1145 Budapest Uzsoki u. 29.
authors: Dániel
authors: D
authors: Teknős
authors: Uzsoki Utcai Kórház Sebészeti Osztály 1145 Budapest Uzsoki u. 29.
authors: Péter
authors: P
authors: Nagy
authors: Uzsoki Utcai Kórház Sebészeti Osztály 1145 Budapest Uzsoki u. 29.
authors: Tamás
authors: T
authors: Mersich
authors: Uzsoki Utcai Kórház Sebészeti Osztály 1145 Budapest Uzsoki u. 29.
authors: Kristóf
authors: K
authors: Dede
authors: Uzsoki Utcai Kórház Sebészeti Osztály 1145 Budapest Uzsoki u. 29.
authors: Attila
authors: A
authors: Bursics
mesh_terms: D000208:Acute Disease; D001062:Appendectomy / Q000379:methods* / Q000592:standards* / Q000706:statistics & numerical data; D001064:Appendicitis / Q000601:surgery; D061887:Conversion to Open Surgery / Q000706:statistics & numerical data*; D006769:Hospitals, General / Q000706:statistics & numerical data; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D010535:Laparoscopy / Q000379:methods; D013503:Surgery Department, Hospital / Q000706:statistics & numerical data
keywords: appendicitis; conversion; konverzió; laparoscopic appendectomy; laparoscopos appendectomia